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Happy Summer ! Publisher of: The San Jose Woman’s Journal The St. Augustine Woman’s Journal

Anna K. Egeln, VP of Business Development

such as Jimmy Buffet Night, Friday Family Fireworks, and Family Faith Day. More information can be found on jaxsuns.com. This June is a special month for my father, the Woman’s Journal business manager. He celebrates 60 years of being alive on this earth. Happy Birthday DAD! I hope I won’t get in trouble for putting your age in print, or posting this throwback picture.

ith the kids out of school, the sun shining, and the beach calling, these summer months bring lots of exciting times. In June we celebrate all of our fathers! Have you checked out a Jacksonville Suns game yet? Bring your fathers, stepfathers, uncles, grandpas, and other father figures, all summer long in a fun, family atmosphere to watch some baseball. You can eat hot dogs, and even enjoy special events

July also brings another birthday. The birthday of our great country. Happy Birthday United States of America! I’m sure many of you will be celebrating with barbeques, beach bashes, and fireworks (check out the Fireworks Spectacular at the Suns Stadium). Don’t get too caught up in all the festivities and forget to acknowledge the military personnel, from all those years ago, who have fought for our freedom! So proudly put on that red, white, and blue, fly those flags high, and don’t forget to take a moment to be thankful for your family, friends, and your life this summer! And don’t forget the sunscreen!! As always we ask you to support the contributors to the Woman’s Journal, and we welcome your recommendations for our “Women in Profile” feature and referrals for

Baby Anna smiles for a much younger Dad – 1990

new contributors.

Publisher/Editor Suzanne Egeln publisher@NEFLWomansJournals.com

Business Manager Anthony Egeln bizmgr@NEFLWomansJournals.com

VP of Business Development Anna K. Egeln anna@neflwomansjournals.com

Graphic Design Samantha Angeli samantha.angeli74@gmail.com

Email / Web info@neflwomansjournals.com www.NEFLWomansJournals.com P.O. Box 3655, Ponte Vedra Beach, FL 32004 Voice & Fax: 904-280-0788 U.S. Mail • Direct Drop Distributors • Subscription The San Jose Woman’s Journal is published bimonthly by Northeast Florida Woman’s Journals and is available free of charge, by display stands in approved private and public establishments and by authorized distributors only. Subscriptions are available.Trademark laws and U.S. copyright laws protect The San Jose Woman’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The San Jose Woman’s Journal is not responsible for (1) any editorial comment (other than its own), (2) typographical errors from advertisements submitted as camera ready or (3) any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The San Jose Woman’s Journal, its owners, publishers, and employees, against any and all liability, loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and proprietary rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper or its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The San Jose Woman’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. Representations by The San Jose Woman’s Journal™, Copyright 2013.

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In This Issue

san jose woman’s journal | june/july 2014

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35

31 30 32 38 Health & Medicine

Legal

4 | Caregiving – The Tough Assignment!

18 | Mortgage Woes – What’s in a Name?

5 | RiverGarden Senior Services

Travel

Sclerotherapy & Laser Therapy 6 | Atrial Fibrillation: Is This Just Irregular

19 | Time to Start Thinking About that Getaway 20 | Cruising the South Pacific, Australia and

Heart Beat or Can I Have a Stroke?

Is There a Cure?? Maybe, with Ablationt.

Business & Finance

8 | Is it Time For a Mommy Makeover? 9 | Who’s Holding That Syringe? 10 | Varicose Veins, Spider Veins, Venous Reflux:

What’s the Difference?-A Solution to Leg Pain

11 | The iFuse Implant System® 12 | Y Healthy Living Center Brings

Baptist Health Experts Closer to You

13 | Discovering Her Path to a Healthy Weight 14 | Have You Heard the Word “Lymphedema”? 15 | Do You Over-Pronate? 16 | “Men are Stupid & Women are Crazy!”

Life Services 17 | A Time To Remember?

New Zealand

21 | Is Your Insurance Company Financially Stable

20 33 | Dreams Come True of Jacksonville celebrates

30 years of fulfilling local children’s

dreams…and many more to come

34 | What Will Make a Difference in Your Child’s Life? 35 | Celebrating the “All Stars” of

The Northeast Florida Healthy Start

Coalition

Fashion & Beauty

36 | Eyebrow is the king of beauty

23 | 5 Enduring Myths of Online Marketing

37 | “Slow Down...You Move too Fast”

24 | Woman’s Worth

Food & Entertainment

Women in Profile

25 | Elizabeth Paulson, Pepper Peete,

Kathy Harris and Jill Donnellan

Community 28 | We Thank You 30 | Youth Crisis Center 31 | Junior Achievement Volunteers Spark Success 32 | The Healthy U Now Foundation Approach

to Autism

38 | Where’s the Beef? Why, Florida of Course!

Outdoor Living

39 | The Best Days Begin and End on a

Yamaha Boat

Back Cover 40 | Go Fish


Health & Medicine

Caregiving – The Tough Assignment!

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By Dr. Sue Leger-Krall ARNP PhD, Director of Home and Community Based Services

eing the caregiver for an elderly loved one has become common place in our society, and this role even has its own unique label - the “sandwich generation”. This term aptly describes how caregivers can feel “squeezed” between caring for their own families and their own needs while also caring for their elderly parents / loved ones. Many working spouses are also facing this new reality when they find themselves being a caregiver to their spouse due to either physical or cognitive changes. This is especially difficult if the caregiver spouse is still working, which so many of us “boomers” are continuing to do during these economic times. River Garden can offer you a life line and expert assistance if you find yourself in one of these caregiver situations. We

offer many levels of assistance, starting with a Caregiver Support group held the 2nd Wednesday of each month at 3:30 PM in the Nestler Library here on the River Garden campus. This support group has been functioning for over 17 years and typically focuses on coping mechanisms and sharing information. We have often heard that there is no better expert than the person in the day-to-day trenches of caregiving. Many times participants have remarked that attendance in the group is so helpful for them to simply laugh and cry with others who understand their unique situation. The most helpful information is often the admonition to the caregiver to find ways to “care for yourself.” River Garden also offers a wonderful Adult Day Care Program for people with any memory disorder who are at the early to mid stage of their cognitive disease. The program is open Monday through Friday from 7AM – 6PM, to assist the working caregiver to easily drop off and pick up. We offer morning transportation within a 10 mile radius, all 3 meals, as well as 2 nutritious snacks. The day program environment allows participants to interact with their peers and enjoy a stimulating and enriching day. Activities are geared to the person’s functional level and capabilities. Many families might use the day program to give themselves respite from the day-to-day job of caregiving. Many studies now tout the positive outcomes of people who participate in adult day care programs, including increased self esteem, socialization and less behavioral

(Left to right): daughter dropping off her dad, an Adult Day Care client; Dr. Marcela Pop, River Garden Clinic Attending Physician issues. We are told that families appreciate when their loved ones return home, fed and well cared for. Persons in our adult day care program can also access our bathing services, as well as our onsite salon / barber shop. With a physician’s order, they can also receive physical therapy in our newly renovated outpatient Rehab /Therapy Department. The newest service addition for adult day care participants is access to our onsite outpatient medical clinic, staffed Monday through Friday by Dr. Marcela Pop, a Baptist Health System physician. This conve-

nience now allows busy families to bring their loved ones to a doctor visit within the regular adult day care day time, involving less travel and disruption. It also offers access if the attendee becomes ill during the daytime while in our program. Caregiving is still a tough assignment but one that many families choose to embrace – River Garden is here to offer help on this journey! For further information on these or other services contact Dr. Krall at skrall@rivergarden.org

Susan Leger-Krall, ARNP, Ph.D. is Director of Home and Community-Based Services at River Garden Hebrew Home in Jacksonville. Dr. Leger-Krall’s background includes over 40 years in nursing education and clinical practice with the elderly. Her master’s degree in nursing is from the University of Texas; her ARNP certificate was completed post master’s at the University of Florida, where she also completed her doctorate in Nursing, specializing in aging and dementia studies. She is a specialist in the care of individuals with Alzheimer’s Disease and other dementias, and is the Clinical Director of River Garden’s Home Health Care agency and Adult Day Care Program. Dr. Leger-Krall previously served as a member of Florida’s Alzheimer’s Disease Initiative (ADI) committee and also the Board of Directors of the Alzheimer’s Association, Central and North Florida chapter. She was a past recipient of the Florida Nurses Association Great 100 Nurses Award for the state of Florida.

June/July 2014

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Health & Medicine

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San Jose


Health & Medicine

Atrial Fibrillation:

Is This Just Irregular Heart Beat or Can I Have a Stroke? Is There a Cure?? Maybe, with Ablation.

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Dr. Sanghvi’ First Coast Heart & Vascular Center

trial fibrillation – also known as AFib or AF – is the most common arrhythmia in the world. Conservatively, 3-5 million Americans suffer from it today. AF accounts for approximately 1/3 of hospitalizations for cardiac rhythm disturbances and increases the risk of stroke 5-fold. More than $16 billion are spent annually to manage complications from AF. And, it is expected that the number of patients suffering from AF will triple in the next 30 years. Here is what patient’s say about their experience with atrial fibrillation: “My heart flip-flops, skips beats, and feels like it’s banging against my chest wall, especially if I’m carrying stuff up my stairs or bending down.” What happens during AF? Normally, your heart contracts and relaxes to a regular beat. During AF, the upper chambers of the heart (the atria) beat irregularly (quiver or fibrillate). This results in an irregular pulse which leads to symptoms.

Common symptoms during AF Atrial fibrillation (AF) is the most common type of irregular heartbeat. The abnormal firing of electrical impulses causes the atria (the top chambers in the heart) to quiver (or fibrillate). Common symptoms during AF Some patients have no symptoms at all. In these situations, their condition is only diagnosed during a routine medical examination. Still, others may present with 1 or more of the following symptoms: • Rapid and irregular heartbeat • Fluttering or thumping in the chest • Lightheadedness • Shortness of breath and anxiety • Weakness • Fatigue when exercising • Sweating • Chest pain or pressure

form often progresses to more persistent forms of AF. Persistent AF is when the episode lasts continuously for more than 7 days. Typically, an intervention is required to stop the arrhythmia since the heart often is unable to return to a normal rhythm on its own. Long-standing persistent AF occurs when a patient has been in atrial fibrillation for greater than 1 year. Again, the arrhythmia will only stop with an intervention.

Treatment Goals Management of AF focuses on two treatment goals – (1) preventing symptoms and (2) preventing strokes. Possible goals include: • Restoration of normal rhythm with or without medications • Managing elevated heart rates while in AF • Preventing blood clots from forming • Controlling associated risk factors • Preventing the possible development of congestive heart failure

Are there different types of AF? Medical practitioners describe AF in the following fashion: Paroxysmal AF is when the heart returns to a normal rhythm on its own. People who have this form of AF typically have symptoms that last a few minutes to a few hours. Episodes of AF may only occur several times a year. Over time, this Permanent AF is a label used for patients in whom attempts at returning the patient to a normal rhythm have failed or a decision has been made to allow the patient to remain in AF indefinitely.

The natural history of AF is that it progressively becomes more persistent. Of course, the most devastating event associated with AF is the risk of stroke. A stroke is 5 times more likely in patients with AF than those without AF.

June/July 2014

How do I get diagnosed? If you are experiencing palpitations or note that your heart rate is irregular, you need to present to your physician for a thorough evaluation to determine whether you have atrial fibrillation. A thorough evaluation includes a detailed history and physical exam and a 12-lead EKG. Sometimes patients will undergo additional monitoring. Often, patients will be referred to a cardiologist or electrophysiologist (a cardiologist that specializes in heart rhythm disorders) for further evaluation.

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How do I determine my stroke risk? Several additional risk factors have been identified that contribute to the risk of stroke in patients with AF: • C – cardiomyopathy (weak heart muscle with an ejection fraction < 35%) • H – hypertension • A2 – age > 75 years old • D – diabetes • S2 – history of stroke or transient ischemic attack (TIA)


Health & Medicine • V – history of vascular disease • A – age > 65 – 74 years old • Sc – Sex (female) A patient is given 1 point for each risk factor except for those marked with a subscript 2 (get 2 points). If you have > 1 point, you should be considered for one of the blood thinning medications (known as anticoagulants) mentioned below. Patients with a score of 0 may be considered for no anticoagulation. Medications for atrial fibrillation Medications are either geared to prevent strokes, control heart rate, or control the rhythm of the heart. Lists included here are not meant to be comprehensive. We encourage you to contact our office for the latest advancements in the medical management of AF. How do I prevent a stroke? Stroke prevention is achieved by taking a medication that prevents the formation of clots – collectively known as anticoagulants. For over 50 years, the only effective medication available was warfarin (Coumadin®). However, there are 3 new agents available that offer similar protection without the fuss that surrounds warfarin such as frequent blood monitoring or being concerned about diet or other medication interactions • dabigatran (Pradaxa®) • rivaroxaban (Xarelto®) • apixaban (Eliquis®) In low risk patients, aspirin has been used; however, its use is falling out of favor since better agents are now available. Important precautions when taking blood thinning medication • Call your healthcare provider right away if you have any usual bleeding or bruising • If you forget to take your daily anticoagulant dose don’t take an extra dose to “catch up”! Follow your healthcare provider’s directions of what to do if you miss a dose. • Always tell your physician, dentist, and pharmacist that you have been prescribed an anticoagulant medication • Remember that other medications, and sometime supplements, can impact the effectiveness of these medications – either rendering the anticoagulant ineffective or overly effective What if I am high risk for stroke but not a candidate for anticoagulation? Unfortunately, not every patient is able to take blood thinning medication safely. A

patient may have experienced a prior bleed while taking a blood thinner or is at risk for following. Until recently, these patients had no alternative but to accept the risk of stroke. However, we now have minimally-invasive procedures aimed to close a structure known as the left atrial appendage (LAA) which is the culprit for blood clots 90% of the time. Thin flexible tubes are inserted into blood vessels in the leg and possibly into the sack surrounding the heart. These thin tubes serve as a method to deliver either a stitch (Lariat®)that closes the LAA from the outside of the heart or a seal (Watchman™) that sits inside the heart to seal off the entrance to the LAA. Patients typically spend one evening in the hospital and go home the next day. Recovery is short with patients up and walking within hours of the procedure. Heart rate controlling medications Beta blockers, calcium channel blockers, and/or digoxin are often used to help prevent the heart from racing while in AF. Adequate heart rate control will frequently result in symptom improvement. Examples of these types medications include: • Carvedilol • Metoprolol • Atenolol • Diltiazem • Verapamil • Digoxin Heart rhythm controlling medications Sometimes medications are required to maintain a normal rhythm and prevent the recurrence of AF. Collectively, these medications are known as anti-arrhythmic drugs. These medications require close monitoring by your healthcare provider if prescribed: • Flecainide (Tambecor®) • Propafenone (Rythmol®) • Sotalal (Betapace®) • Dofetilide (Tikosyn®) • Amiodarone (Pacerone® or Cordarone®) • Dronedarone (Multaq®) The decision to use electrical cardioversion A cardioversion is an outpatient procedure which allows for the immediate restoration of normal rhythm. The procedure is painless and involves going to sleep for 2-3 minutes while a quick current of electricity is sent through the heart resulting in a normal heart beat. It is the “reset button” for the heart. Sometimes, a patient will need to undergo a transesophageal echo-

Can AF be cured? The jury is still out on this question. At this time, there is no definitive cure for AF. However, catheter ablation is the closest tool we have to preventing the long-term recurrence of AF. AV-node ablation with pacemaker implantation This strategy is reserved for highly-symptomatic patients whose heart rate cannot be controlled by medications and who are

cardiogram (TEE) prior to the procedure to confirm that no blood clots are sitting in the heart. A TEE is also an outpatient procedure where the patient swallows a thin ultrasound probe similar to an endoscopy. Pictures of the heart are taken and then the probe is removed. Atrial fibrillation catheter ablation By far, the most effective method in preventing recurrence of AF is by catheter ablation. Ablation is typically reserved for symptomatic patients with recurrent AF who are intolerant of one of the rhythm controlling medications mentioned above or do not wish to subject themselves to the potential side-effects from these medications. A catheter ablation is a minimally invasive procedure performed by a heart rhythm specialist known as an electrophysiologist. The procedure is akin to having a cardiac catheterization or angiogram in that a patient lies on a table. Very thin spaghetti – like catheters are inserted into the body via the blood vessels in the leg. An electrically sensitive catheter is used to identify areas of the heart that are electrically malfunctioning. These catheters either heat or cool the heart tissue to destroy these malfunctioning areas. In the appropriate patient, the success rate of preventing AF recurrence is typically 70%. About 1 out or every 3 to 4 patients will need to have the procedure done twice. In these patients, the success rate can be as high as 80-85%. Recovery is short with patients walking within hours of the procedure. Patients will typically spend 1 evening in the hospital and go home the next day.

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not candidates for an AF catheter ablation. In these situations, the only way to prevent the heart from continuously racing is to disconnect the normal wiring of the heart (the AV node) and have a pacemaker take over the job of assuring that the heart beats at a normal rate. Patients often note an immediate improvement in symptoms after having this procedure. At First Coast Heart & Vascular Center, we pride ourselves in offering comprehensive management for patients with atrial fibrillation. Our skilled cardiologists and electrophysiologists are able to offer contemporary medical management options. For symptomatic patients not responding and/or tolerating medical therapy, Dr. Neil Sanghvi and Dr. Dinesh Pubbi are able to perform an AF catheter ablation using state-of-the-art equipment found at several local hospitals. And, for patients unable to take anticoagulation, our physicians can evaluate you to determine whether you are a candidate for a left atrial appendage closure device.

First Coast Heart & Vascular Center, PLLC

14810 Old St Augustine Road, Suite 201 Jacksonville, FL 32258 3901 University Boulevard, Suite 221 Jacksonville, FL 32216 (904) 423-0010 www.firstcoastheart.com San Jose


Health & Medicine

Is it Time For a Mommy Makeover?

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Dr. Michael Duffy, Jacksonville Cosmetic & Reconstructive Surgery Center

as having children and breast-feeding changed the appearance of your breasts and abdomen? This is not due to decreased physical activity (you are likely running now more than ever), slow metabolism, or poor eating habits. These changes are due to structural alterations in your body’s tissues that can be explained and rejuvenated to restore your pre-pregnancy appearance. The Abdomen The abdominal wall is composed of skin, then fat, then the rectus abdominus muscles (the “six-pack”) encased in a nonelastic substance called fascia. To accommodate the enlarged uterus (or womb) during pregnancy, all three abdominal wall layers—skin, fat, and muscle encased in fascia—from just

above the navel (belly-button) to the pubic bone stretch at a rate that often outstrips a woman’s ability to make new tissues. How well these tissues bounce back after delivery is dependent on many factors including the mother’s age, health, skin elasticity, and weight gain during pregnancy. The abdominal wall tissues of mothers bearing multiple children (twin, triplets, etc.) are stretched to a more extreme degree. “Stretch marks”, or striate, are caused by a rate of skin stretch that overwhelms the skin’s elasticity or ability to create new skin. Even though women spend millions of dollars every year purchasing products to improve stretch marks, there are no FDA approved therapies to remove stretch marks. Stretch marks are irreversible. Although the abdominal wall muscles will snap back after pregnancy, the tissues that encases these muscles (the fascia) does not have the same elasticity and is weakened. The weakening of the fascia causes a paunch, or protruding belly. This can never be improved with exercise of diet—it is a mechanical change in the tissue. Often I’ll hear, “I work out regularly and still can’t improve my belly.” Fat stores on the back and flanks are increased during pregnancy. These new stores are often also resistant to exercise. This change is natural, but it masculizes the feminine hourglass appearance. The Breasts During pregnancy, the breasts enlarge due to hormonal factors in preparation for milk production. If the mother does breast-feed (a healthy option for mother and child), the internal breast tissue los-

es much of its structural integrity. This change causes a flattening of the natural teardrop appearance of the breast. The flattening and dropping of the nipples position is called ptosis, often referred to as “drooping breasts.” The Solution: A Mommy Makeover is a combination of: 1. Abdominoplasty 2. Breast augmentation and/or lift, and 3. Suction lipectomy of the back flanks and hips. • Abdominoplasty: removes the excess skin and stretch marks from the abdomen, and tightens and restores the “abdominal wall corset.”

• •

Breast Augmentation/Lift: Depending on the size of the breasts, the amount of drooping (ptosis) and the patient’s desires, a breast lift (mastopexy), breast augmentation (with silicone “gummy bear” or saline implants), or a combination of the two can be performed to restore and enhance the breast shape. Liposculpture: of the back and flanks is performed to permanently remove the excess fat

The results are striking and long-lasting. Patients, and their partners, are equally ecstatic post-operatively.

“Dr. Michael Duffy is a Plastic and Reconstructive Surgeon providing comprehensive aesthetic and reconstructive surgery services in Jacksonville, Florida and the surrounding areas of Ponte Vedra, North Florida and South Georgia. Dr. Duffy received his Plastics Reconstructive training at Mayo Clinic, Rochester, MN and is certified by the American Board of Surgery and American Board of Plastic Surgery. His plastic surgery treatments include breast augmentation, breast lift, breast reduction, liposuction, tummy tuck, facial rejuvenation, rhinoplasty, mommy makeovers and total body rejuvenations and more. Dr. Duffy also leads a team of experienced medical aesthetician specialists that offers a full range of services from medical spa treatments, advanced skin care and laser services at his Cosmetic & Reconstructive Surgery skin care center. Popular services includes Medical Spa Treatments, BOTOX®, Dysport®, Juvéderm®, Obagi and CLENZIderm M.D.™

June/July 2014

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Health & Medicine

Who’s Holding That Syringe?

s your doctor qualified?

MEMBERSHIP PROGRAMS HELLO GORGEOUS! Here at Cosmetic and Reconstructive Surgery Center we have customized our memberships to fit almost every patient. No more looking for a Groupon or Living Social for your next treatment. Check out the details below. Next pick which services you’re interested in such as The Bella Express, The Lunch Time Diva or The Deeper Beauty. Then come in and start treating yourself to a beautiful new you! Become a Duffy Beauty! You Are Worth It!!! • One treatment per month • Transferable to a friend or family member • All services roll over to the next month • 10% off skincare products • Botox $9.99 per unit • $75 off fillers • No set up or cancellation fee • 50 minute facial upgrade $19 And did we say no Cancellation fee!!!

Virtually any doctor can purchase and administer injectables. From gynecologists to pediatricians to internists, anyone with medical training can offer cosmetic injections. Many doctors are practicing outside their specialty without proper training, which can put you at risk for anything from mediocre results to deformity. It is important to chose a physician who is properly training and qualified to perform injectable procedures. He or she must also be administering products that are FDA approved for aesthetic use. Signs you may want to look elsewhere: 1. Poorly qualified injectors using non-FDA approved injectables are present right here in our own community. SO BEWARE! 2. Injectors offering deep discounts are often getting their product from outside the United States. 3. Injectors that offer to perform procedures at your home, at a party, or anywhere outside a medical office setting. In the event of a complication you may not be able to locate them and they are usually unlicensed and/or without board certification. Some may not even be physicians. 4. Injectors unwilling to show you the packaging from your product. Don’t accept an unmarked, unpackaged syringe. You don’t know what is in that syringe. 5. You are not given an informed consent to read and sign. 6. You are not educated about complications or adverse reactions prior to treatment.

“There are 1.2 million doctors currently performing cosmetic injections of Botulinum toxin and cosmetic fillers. Of these, only 7% are qualified injectors.” (Copyright © 2012 Expert Injector) 7. You are not given post-treatment instructions. 8. The physician does not inquire about previous injectable treatments, current medications, medical history or allergies. 9. The injector is not board certified in plastic surgery, facial plastic surgery, dermatology, or oculoplastic surgery

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Financing Options

The Cosmetic & Reconstructive Surgery Center offers many payment options, such as cash, credit and check. We also offer financing options for those that qualify. Below are some of the financing institutions that work hand-in-hand with the Cosmetic & Reconstructive Surgery Center.

The Bella Express $49 Facials are a great way to maintain clear, healthy and glowing skin. Why? Because we use Medical grade products to deep cleanse and nourish your skin. Plus, we know you are busy so we have you in and out within 30 minutes. The Lunch Time Diva $57 Sometimes you need more than a deep cleansing. For patients looking for an effective way to maintain their skin and age gracefully a good regimen of Alpha and Beta peels and/or manual exfoliation will do the trick. The Deeper Beauty $69 For my beauties wanting to age slower than time, regular exfoliation is a must. What better way that to get it than with chemicals peels like Glycolic, TCA, Latic acid and so on. This will include peels such as PCA, SkinMedica and South Beach. Call or come by today to meet with one of our Aestheticians to see which treatment will be the best fit for you. You’ve thought about all the changes that you would like…..come tell Dr. Duffy and let us make this the year that you look outstanding!!

San Jose


Health & Medicine Varicose Veins, Spider Veins, Venous Reflux: What’s the Difference? -A Solution to Leg Pain patients excellent relief from varicose vein disease in less than 45 minutes. Spider veins present as small webs of red, purple or blue clusters or lines that disfigure the skin surface. Varicose veins appear as dark blue veins or bulging ropes beneath the skin. While these veins are not usually life threatening, they can disrupt and interfere with a person’s quality of life. Venous

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By: Ryan Pereira, DPM FACFAS

f you are one of the many who suffer from discomfort, pain, or poor self-image due to varicose veins, spider veins, or venous reflux, a wide array of minimally invasive treatment options are available at The Centre for Advanced Vein Care (CAV Care) which has been treating venous disease since 2005. Varicose veins, and spider veins although considered a cosmetic problem is actually a sign of an underlying disorder called Venous Insufficiency. Nearly 20-25 million Americans are afflicted by this condition. By age sixty, approximately 70 percent of women and 40 percent of men will be afflicted with venous insufficiency. Left untreated, it can lead to a chronic, debilitating, and sometimes limb-threatening condition. A minimally invasive, alternative to vein stripping, office based treatment called the Closure® Procedure offers For more information about vein treatments, please visit: www.anastasiamedicalgroup.com or contact the office at 904-461-0821. The Center for Advance Vein Care (CAV care) treats all of the aspects of venous disease, the most common of which are varicose veins, spider veins, venous ulcers, and refluxing veins. We utilize the VNUS® Closure® procedure and treatments usually last approximately 45 minutes. In order to provide for total comprehensive vein care, vein stripping, ambulatory phlebectomy and sclerotherapy are also performed at the Center for Advance Vein Care. Dr. Ryan J. Pereira (pictured above) has been

June/July 2014

stasis dermatitis and ulcerations are finally what occur if moderate to severe venous reflux is left untreated and may lead to threatening limb loss. The primary contributing factor to vein disease is heredity. Venous insufficiency is 2 times more prevalent in women than in men. Hormonal factors play a significant role in aggravation of the disease process. Puberty, menopause, birth control pills, estrogen/ progesterone pills, can aggravate vein disease. Pregnancy can worsen existing vein disease as the increased blood volume overwhelms the insufficient veins. Leg pain, fatigue, tiredness, heaviness, in practice since 2002 and has been treating venous disease since 2005. He is a Diplomat of the American Board of Podiatric Surgery and is Board Certified in both Foot Surgery and ReDr. David S. Ross constructive Rearfoot/Ankle surgery. He is also a Fellow of the American College of Foot and Ankle Surgeons. He graduated from the Ohio College of Podiatric Medicine with his Doctorate in Podiatric Medicine. Dr. David S. Ross has been in practice since 1977 and has been treating venous disease since

aching, burning, itching, and restless legs are common symptoms of venous insufficiency. These symptoms often worsen with long periods of standing and can lead to leg swelling, throbbing and leg cramps. Conservative treatments include heavy support stockings, anti-inflammatory medications, and leg elevation. Venous disease is not as yet curable; however with appropriate treatment, the progressive nature of vein disease can be slowed and controlled. At CAV Care, we evaluate many patients for treatment of their spider veins, who have had these previously treated where only the cosmetic appearance was addressed, only to see reappearance after 6-12 months. Those 2008. He is Board Certified in both Emergency Medicine and Family Practice and is a Fellow of the American College of Emergency Physicians. He graduated with a Doctorate in Medicine from the University of Florida.

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who opt only for superficial treatments of leg spider veins exchange the veins for dark blotches in the skin. The underlying problem is never considered or treated. A careful ultrasound vein mapping may show a deeper source of reflux in a larger source vein. We offer minimally invasive treatment options like VNUS Closure procedure to address the larger source veins. Once any underlying large vein insufficiency has been excluded or treated. Sclerotherapy is the treatment of choice to address the most superficial skin veins.


Health & Medicine

The iFuse Implant System®

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Brian Haycook, MD

our out of five people will suffer from back pain in their lifetime. For many it’s debilitating and impacts their quality of life. Their pain can go on for years without relief. One common cause of low back pain originates from the sacroiliac or SI joint. The SI joint is located in the pelvis and links the iliac bone (pelvis) to the sacrum (lowest part of the spine above the tailbone). This joint transfers weight and forces between your upper body and legs. It is an essential component for shock absorption to prevent impact forces during walking from reaching the spine. Sacroiliac joint disorders are commonly misdiagnosed in patients with low back pain due to the similarity of symptoms with other spinal conditions such as a herniated disc or sciatica. Pain generated from SI joint

disorders occurs in varying degrees on one or both sides of the low back. The pain can also be felt in the groin, hip, thigh, buttocks, and down the back of the leg. Certain movements or positions can provoke pain in the SI joint. Many people experience pain when sitting and will shift their weight to the opposite side. Moving from a seated position to standing, twisting, climbing stairs, crossing legs, rolling over in bed, getting in/out of the car, and lifting may also cause pain. SI joint disorders affect both males and females, but they are more common in women. Many women experience low back pain during pregnancy when hormones are released to relax and enlarge the ligaments in preparation for childbirth. The growing uterus may stretch or weaken muscles around the pelvis. Added weight and compensatory changes in walking patterns during pregnancy can also place strain on the SI joints resulting in inflammation and pain. For most women postpartum, the SI joints revert to their normal, tightened, and locked position. For 20% of women, full tightening does not occur and they develop varying degrees of chronic low back pain. Pain in the sacroiliac joints can also be caused by age related degenerative changes, trauma, previous lumbar fusion, degenerative sacroiliitis, or may be caused by another condition like Ankylosing Spondylitis. Most people respond to conservative treatments including physical therapy, SI joint injections, chiropractic manipulations, or radiofrequency

“Four out of five people will suffer from back pain in their lifetime. For many it’s debilitating and impacts their quality of life.” ablations. If conservative therapy fails to provide lasting relief, your doctor may consider surgical options. A new surgical option for the treatment of some causes of SI joint pain is the iFuse Implant System®. “The procedure is minimally invasive and only needs a 1 ½ inch incision. We stabilize the SI joint by surgically inserting three small, titanium implants across the joint to eliminate motion” [Dr. Brian Haycook ]. According to Dr. Haycook “the iFuse Implant System is intended for sacroiliac fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. The procedure typically takes about an hour and requires one overnight stay in the hospital. Recent, published studies have reported promising results for pain relief and a high level of patient satisfaction.” (1,2)

To learn more about the iFuse Implant System please visit www.oastaug. com or contact Orthopaedic Associates of St. Augustine at 904-825-0540 for additional information. 1 One year successful outcomes for novel sacroiliac joint arthrodesis system. Donald Sachs, M.D. * Paid consultant of SI-BONE. Annals of Surgical Innovation and Research, 2012 Dec 27;6(1):13. 2 Sacroiliac Joint Arthrodesis-MIS Technique with Titanium Implants: Report of the First 50 Patients. Leonard Rudolf, M.D. * Paid consultant of SI-BONE. The Open Orthopaedics Journal, 2012, 6, 495-502

One Orthopaedic Place St. Augustine, FL 32086 3055 CR-210 West, Suite 110, St. Johns, FL 32259 904.825.0540 www.oastaug.com

BRIAN HAYCOOK, MD Dr. Haycook is a graduate of the University of Florida and the University of Miami School of Medicine. He completed his Spine Fellowship at Methodist Hospital in Indianapolis, Indiana. Dr. Haycook is Board Certified by the American Board of Orthopaedic Surgery. He has specific expertise and training in the latest treatment of scoliosis, spinal deformities and spine related injuries. Dr. Haycook is proud to be one of the only orthopaedic surgeons in the area offering minimally invasive spine fusion surgery to his patients.

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San Jose


Health & Medicine

Y Healthy Living Center Brings Baptist Health Experts Closer to You

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Julie Schafer, MPH, Baptist Health Healthy Living Coordinator

he new Y Healthy Living Center in Mandarin brings expertise from Baptist Health to your neighborhood, making wellness more accessible.

June/July 2014

A partnership between YMCA of Florida’s First Coast and Baptist Health opens the door to any community member – not just Y members – to take advantage of low-cost health screenings, free risk assessments, free workshops and free talks with staff from Baptist Health. “The new Healthy Living Center in Mandarin is the first of its kind on the First Coast, bringing medically integrated programs from Baptist Health into the Y and making these programs more accessible to the surrounding community,” says Julie Schafer, MPH, Healthy Living Coordinator for Baptist Health. More Y Healthy Living Centers are planned in the near future – one will open in the Ponte Vedra Y in August,

and other locations are planned. The first Y Healthy Living Center is on the second floor of the Williams Family YMCA in Mandarin. The center operates under the guidance of Dr. Aristides Sastre, a Baptist Primary Care physician. Julie Schafer, MPH, the

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Healthy Living Coordinator, is on site Monday - Friday 8:30 a.m. – 12:30 p.m. and 4 p.m. – 7:30 p.m. (close at 5 p.m. Friday). She helps visitors navigate the health and wellness services offered at the Y, and conducts free health risk assessments.

Y Healthy Living Center – Summer events June 9 HeartWise Screenings June 10 Talk With A Doc (Health Tips) June 16 Moms Matter June 23 HeartWise Screenings June 24 HeartWise Eating Plan June 24 Talk With A Doc (Summer Travel) July 14 Prevent Sports Injuries Visit baptistjax.com/ymca for more details and registration.


Health & Medicine

Discovering Her Path to a Healthy Weight her. “When it comes to bariatric surgery, everyone is different and their surgical choice must be tailored to meet their individual needs,” Dr. Morgenthal said. Since the surgery, Katie’s life has changed. “I am much more physically active now,” she said. One of the biggest

adjustments for Katie is learning how to handle the new attention she gets now that she has slimmed down. “It’s like I’m going through my teenage years for the first time at age 32!” “The payoff to my health and my life has been well worth the effort. This is one of the best decisions I ever made.”

Craig Morgenthal, MD, (left) and Steven Hodgett, MD (right) perform minimally invasive surgeries, including bariatric surgeries, at Baptist Health.

D

espite Katie Cox’s best efforts to lose weight through the years, the numbers on the scale kept creeping upward. Starting around age 18, she tried a variety of diets but nothing seemed to work for very long. “I could never lose more than 30 pounds, and then I would always gain it back, along with some extra weight,” Katie said. This frustrating cycle continued for the next 12 years. Katie’s weight spiraled out of control in 2010, while working for the Gator Bowl Association and pursuing a master’s degree at the same time. “I am a stress eater and I was under a lot of pressure,” she explained. As her weight neared 300 pounds, she knew she had to do something that would permanently change her life and improve

her health. “That’s when I really started to consider surgery as a viable option.” She went to one of Baptist Health’s monthly meetings, where surgeons and staff explain the different types of weight loss surgeries available. Katie remembers bariatric surgeon Craig Morgenthal, MD, being friendly and easy to understand. “He made me feel comfortable,” she said. “During my first appointment, Dr. Morgenthal said something I would never forget,” Katie recalls. “He said, ‘I’m not fixing your life; I’m giving you a tool so you can fix your own life.” Of the different types of bariatric surgeries available, Katie and Dr. Morgenthal decided the sleeve gastrectomy would be best for

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San Jose


Health & Medicine

Have You Heard the Word “Lymphedema”? I. Skin Care - Avoid trauma/injuryvand feeling tight, decreased flexibility in the reduce infection risk

hand or wrist, difficulty fitting into cloth-

ply moisturizer daily to prevent chaffing of skin. 2. Do not cut cuticles and be careful with razors to avoid nicks and skin irritation. 3. Protect exposed skin with sunscreen and insect repellent. 4. Wear gloves while doing activities that may cause skin injury (i.e., gardening, working with tools, using chemicals such as detergent). 5. If scratches/punctures to skin occur, wash with soap and water, apply antibiotics, and observe for signs of infection (i.e. redness). 6. If a rash, itching, redness, pain, increased skin temperature, fever or flu-like symptoms occur, contact your physician immediately.

watch/bracelet tightness. Being aware of any changes is crucial to attending to the symptoms before the lymphedema becomes a significant problem. If you think you might have lymphedema you should make every attempt to be evaluated by a Certified Lymphedema Therapist. This could well be a visit for peace of mind, but it also could lead to proper treatment and management of the condition by using their special training in Com-plete Decongestive Therapy. This is a four part therapy to help your body clear itself of metabolic waste and protect you from pathogens and toxins. The parts are Manual Lymph Drainage, compression, skin care and exercise. The therapist will use these steps in the treatment plan and teach you how to self manage the condition. There are many specialized garments to help move the fluid and maintain circumferences in the arm. Some are for daytime wear, some are for nighttime wear. If the condition develops in the breast, chest or back, there is a very specialized garment to do that work. Also, with a breast

1. Keep extremity clean and dry and ap- ing in one specific area, or ring/wrist-

I

By: Susan Detar, CFM Owner, The Pink Door

f you have had breast cancer surgery you likely have. However, hearing the word and knowing how it might affect you may not have crossed paths. Lymphedema is an accumulation of lymphatic fluid in the interstitial tissue that causes swelling, most often in the arm(s) and/or leg(s), and occasionally in other parts of the body. Lymphedema can develop when lymphatic vessels are missing or impaired (primary), or when lymph vessels are damaged or lymph nodes removed (secondary). When the impairment becomes so great that the lymphatic fluid exceeds the lymphatic transport capacity, an abnormal amount of protein-rich fluid collects in the tissues of the affected area. Left untreated, this stagnant, protein-rich fluid not only causes tissue channels to increase in size and number, but also reduces oxygen availability in the transport system, interferes with wound healing, and provides a culture medium for bacteria that can result in infection. In this article we will discuss lymphedema as it might affect the upper extremity as a result of a breast cancer diagnosis. If you had breast surgery with axillary dissection, you were likely told to ensure no needle pricks or blood pressure cuffs on the surgery side arm. That is a good start to managing the risk of developing lymphedema, but there are many more tips to keep your lifelong risk minimized. If you also had radiation treatments, the system has had a double blow. Here is a list of things to keep in mind.

II. Activity / Lifestyle 1. Gradually build up the duration and in-

tensity of any activity or exercise and take frequent rest periods during activity to allow for limb recovery. 2. Monitor the extremity during and after activity for any change in size, shape, tissue, texture, soreness, heaviness or firmness. 3. Maintain optimal weight.

III. Avoid limb constriction 1. If possible, avoid having blood pressure

taken on the at risk arm. 2. Wear loose fitting jewelry and clothing.

IV. Compression Garments 1. Should be well-fitting and support the at

risk limb with a compression garment for strenuous activity (i.e. weight lifting, prolonged standing, running). 2. Wear a well-fitting compression garment for air travel (considered a significant preventive measure).

V. Extremes of Temperature 1. Avoid exposure to extreme cold, which

can be associated with rebound swelling, or chapping of skin. 2. Avoid prolonged (>15 minutes) exposure to heat, particularly hot tubs and saunas (never above 102° F.). If you have a feeling of fullness, heaviness, aching in the breast/chest or arm, these are indicators of a possible case of

Susan Detar is a Certified Mastectomy Fitter. The Pink Door is an accredited post-mastectomy care center. Our mission statement: “The Pink Door will be recognized as the preferred provider of foundations to women affected by breast cancer. We will offer a wide selection of products in a knowledgeable and caring environment. Our goal is to fulfill 80% of our customers’ needs on the first visit.” This mission extends to all women who walk through the door. You will be served in a warm, inviting boutique occupying a home in the south historic district of Palatka. Our job is to provide products that will make you look and feel better.

June/July 2014

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Night Time Arm Sleeve

Bellisse Compressure Bra cancer diagnosis there are a number ways to receive financial assistance for these garments. Be well-informed and your own advocate.


Health & Medicine

Do You Over-Pronate?

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By JosĂŠ Concha, DPM

Coastal Foot & Ankle Wellness Center

onation is a biomechanical term used to describe the inward rolling of the foot as it strikes the ground. Pronation allows for shock to be absorbed when walking or running. It also allows the bones in the feet to form a rigid lever so that the muscles can contract allowing us to propel or push off towards our next step. Generally, pronation is an inherited trait, though other factors- such as obesity- can also lead to this condition. A normal amount of pronation is a good thing. This is normally called the neutral position. Under pronation is not as common but can lead to injuries such

as sprains and strains of the ankle and leg. Under pronators tend to spend more time on the outside edges of their feet. By far the most common type of biomechanical foot deformities are over pronators. Over pronation leads to excessive shock & stress upon impact. This deformity can lead to pain in the feet, knees, hips, back, and shoulders. Common injuries for people who pronate include shin splints, plantar fasciitis, tendonitis, and bunions. The common thought is that a stable shoe or sneakers can support and relieve the pain caused by pronation. Unfortunately many people do not realize that a good arch support, or orthotic is needed for optimal stabilization of these foot deformities. Just about all shoe & sneaker manufacturers lack the proper insole that would be considered a good support for the 26 bones, joints, tendons, ligaments, and muscles in the human foot. Treatment: In children, over pronation can be diagnosed and treated before the age of 5 so that all bones and joints will be aligned properly as growth continues. This can lead to prevention of arch collapse and early injuries in sports and physical activities. In adults, the only effective conservative treatment for pronation is orthotics or custom made devices. A visit to your local podiatrist can determine if you are in need of current treatment or help determine what that could be done to help prevent future breakdown and injuries.

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We have been treating your feet in St Augustine and Palatka for over 12 years. Make an appointment today with Richard Johnson, DPM or Jose Concha, DPM at (904)826-1900 in St Augustine or (386)328-1122 in Palatka. At Coastal Foot & Ankle Wellness Center, we are setting the highest standards for your foot and ankle care. San Jose


Health & Medicine

“Men are Stupid & Women are Crazy!”

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o, this is not the title of a new country song but the premise for understanding the intrinsic difference in men and women’s brains and communication styles and the quote actually comes from one of our clients. Many have become familiar with the idea that men use more of their left hemisphere for logical, linear, goal oriented tasks, whereas, women are prone to emotional, right hemisphere, intuitive processing. While the male brain is larger, the female brain has more dendrite connections, and more activity in both hemispheres simultaneously due to the corpus callosum that connects the two. Men tend to see the large picture or give the headline of a story, while women are more detailed and fine print. Other aspects which challenge communication and understanding are the facts that women tend to speak 2-3 times as many words per day as men and the organization of information is stored differently. A man’s brain is more like a waffle, thus allowing them to separate and detach from issues more easily with different boxes or compartments. The beauty of the male brain lies not just in its superior logical analysis but the fact that they have a NOTHING BOX. This has annoyed women for years as they will often ask their husbands what they

are thinking about, only to hear them reply, “nothing, honey.” Women may in fact be slightly jealous of this feature, as the woman’s brain is structured more like a bowl of spaghetti, with each strand leading to a connection and yet to another. While women can be more global in their thinking, they are challenged with quieting their thoughts or being able to focus on one at a time. While women want to vent and be listened to, men are eager to come up with a solution to the problem. Since men are more goal-oriented and women are more process and relationship driven, this affects not only communication but also the sexual relationship. Women tend to need the relationship to be going well, to have a sense of security and feelings of being loved and cherished prior to feeling sexual. This is a separate issue for most men, independent of their feelings of arousal. Thus, when counseling a couple, we have often referred to men as “microwaves and women as crock pots, because they take longer to heat up.” While these differences are not concrete or absolute, they do represent the general uniqueness of the genders. Culturally, we have been guilty of encouraging androgyny as opposed

ST. AUGUSTINE’S BEST COUNSELORS June/July 2014

Kathleen Abbott, Licensed Mental Health Counselor & Clinical Director

John R. “Jack” Jones, Jr, Licensed Mental Health Counselor & Certified Family Law Mediator

to understanding and celebrating the differences. Perhaps if we understood the Creator’s vision more, it would make it eaasier to embrace this concept. God uses the design to demonstrate the two are better than one, and that marriage was designed to complete and heal each member. If the husband and wife were exactly alike, especially on all of their emotional dimensions, one would not be necessary! The full image of God is represented in the creation of

a loving union, which is realized when balance and grace allow for the flow of each other’s contributions. While this can be a challenge for many who are already in patterns of dishonoring, competing and blaming with their partners, there is hope. At LifeSource, we are committed to the healing and restoration of relationships and we offer a unique, solution focused treatment involving mind, body and spirit.

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Lasting Results Through Science & Spirituality an We are now ic Amen Clin te Affilia

Kathleen Abbott, LMHC John “Jack” Jones, LMHC Melody Ott, LCSW Thomas Swisshelm, MEd, EdS Barbara Jenkin, M.A., CAP Megan Keegan, MS Liggett M. Cato, CECP Cynthia Zsolani, PhD Susan Barrow, LCSW Lin Brightman, BCHC

Thank you for voting us St Augustine’s Best Counselors for 2013 Free Counseling Through Our Graduate Intern Program Free Substance Abuse Groups Featuring Smart Recovery

(904) 797-5680

Displaying the Spiritual Paintings of Mary Lou Gibson Fax: (904) 797-5681 • www.TheLifeSourceGroup.com

248 Southpark Circle East • Saint Augustine, FL 32086


Life Services

A Time To Remember

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Kelly Wells Haven Hospice Administrato

fter the loss of a loved one, coping with daily living can be hard. Knowing you are not alone in your difficult journey can make all of the difference. Through generous donations from community members, Haven Hospice is able to offer Healing Hearts—grief support programs in 18 counties of North Florida as a free, community service. These programs are nondenominational and Haven did not have to take care of your loved one to participate. Haven Hospice offers individual, family and group bereavement counseling with licensed, clinical social workers. Opportunities to heal and remember your loved one with others in your community include Love and Remembrance Memorials in the spring and the fall as well as

Camp Safe Haven from May to October. In 2014, Haven Hospice is offering five Camp Safe Haven dates and locations to help children, teens and families understand their feelings of loss and to give them an opportunity to heal. “As adults, we can tell children and teens all we want about grief, but experiencing a loss is alienating. At Camp Safe Haven, children and teens can meet others who are experiencing the same journey and this helps validate their feelings and what they have been going through,” said Haven Hospice Bereavement Counselor Marissa McGehe, MSW. “Camp Safe Haven provides a fun environment where we can teach and equip them with coping skills that they can use long after the camps are over. We also work with adults and give them information about what they can expect in their child’s grief journey.” Each spring and fall, Haven Hospice offices in each service area host Love and Remembrance Memorials to help families remember their loved ones. All of the memorial services incorporate music, meditation and story sharing, but just as every individual experiences grief differently, each office has their own unique way of remembering those that they served. The fall memorials are organized by social workers on staff while the spring memorials are organized by each area’s chaplain. Chaplain William Baldwin will retire from Haven Hospice at the end of May after having served patients and families in the Jacksonville area since 2002. “Many of the memorial services in Jacksonville and Orange Park involve reading the loved

ones’ names and lighting a candle in their memory,” said Baldwin who recalled one service that was a little different. “At the beginning of this service, an empty wreath hung at the front of the room.” Baldwin explained during this service the names of the loved ones were called and family members were able to place a flower on the wreath. By the end of the service, the once empty wreath was filled with beautiful flowers. During their weekly meetings, Haven Hospice staff in each office take a moment to remember the patients they have served and cared for. In Jacksonville and Orange Park, a staff member reads the names of

Chaplain William Baldwin and Vice President of Community and Legislative Affairs Jim Poole

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those patients who have passed during the week and have a moment of silence. “Because many of the staff becomes close with the patient this is a time of grieving and remembrance,” said Baldwin. “We take the time to thank the staff for what they have done.” Baldwin has visited with many patients during his time at Haven and is always amazed to see patients with a sense of humor. He recalled one family who did not want him to mention death or dying when he began talking with their loved one. “But as soon as I entered the room, that’s all the patient wanted to talk about,” said Baldwin. “The patient was strong in their faith, they were excited for the journey ahead to meet their Lord and they were not afraid.” When the patient was asked how often they would like Baldwin to return, the response was, “As often as he can, it will look good on my resume when I get to the gates!” Baldwin is the longest-tenured employee in the Haven Hospice Jacksonville Office where Kelly Wells is the administrator. “It is hard to grasp the number of lives Bill has uplifted over the past decade or more,” said Wells. “It is bittersweet to see him retire because he is part of our identity here in Duval, Nassau, Baker and St. Johns Counties, but I am also thrilled for him and his family at the same time.” To learn more about Camp Safe Haven or Haven Hospice, please visit www.havenhospice.org, www.havenhospice.org/campsafehaven or call 1.800.HOSPICE.

San Jose


Legal

Mortgage Woes – What’s in a Name?

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By J. Russell Collins, Attorney

nce upon a time Henry Homeowner bought a home loan from Juliet Capulet, President of Capulet Mortgage Brokers, Inc. Juliet was very young and did not pay much attention to details. When she signed Mr. Homeowner’s loan, she signed it as President of “Capulet Mortgage Bankers, Inc.” “Brokers, Bankers—what’s in a name?” Juliet said to herself, and she proceeded to endorse over 300 more home loans, signing as President of “Capulet Mortgage Bankers, Inc.” Then Juliet sold Mr. Homeowner’s loan to her boyfriend, Romeo, of Montague Mortgage. Now Romeo was very much in love with Juliet, and he let their romance get in the way of good due diligence. He did not properly check the loan he was purchasing from Juliet, and did not notice the name discrepancy. Meanwhile, Mr. Henry Homeowner lost his job and got behind on his mortgage payments. Never was a story of more woe than high unemployment and a housing market low. However, when Romeo went to foreclose on Mr. Homeowner, he found he could not. The transfer of Mr. Henry Homeowner’s loan was invalid since Juliet had endorsed the note from

a company where she was neither president nor even worked. Of course the incident might have been dismissed as clerical error...except Juliet had signed over 300 home loans as President of “Capulet Mortgage Bankers, Inc.” (not as “Capulet Mortgage Brokers, Inc.”). Difficult to argue as a typo when it happens over 300 times! (How could she not recognize that she was signing the wrong company name that often?) How indeed. Romeo sorted it out eventually and got proper authority to foreclose so he could re-file the lawsuit against Mr. Henry Homeowner...but by that time, Mr. Homeowner had a mortgage modification and lived more happily ever after than he would have if “FORECLOSURE” had been stamped on his credit report. Words mean things...so do names when it comes to proper authority to foreclose. While seemingly starcrossed mistakes like this can be an

advantage in a foreclosure defense, often the best result is to fix it faster by negotiating a mortgage modification or repayment plan (or maybe even a Chapter 13 Bankruptcy). Sometimes it takes legal counsel to open a dialogue to a resolution for the homeowner, or at least to examine all the legal choices.

The court system is still dealing with work done by robo-signers, improper mortgage and note transfers, and things as simple as an incorrect lender name on the initial loan. These technical errors in a foreclosure defense can give the homeowner opportunity to better prepare themselves for foreclosure, but the errors are not going to stop the foreclosure. With the stock market linked to the real estate market, public policy does not support a homeowner receiving a

free house. In the end of a foreclosure defense you will lose. Eventually the loan servicer will be able to overcome the mistakes and will foreclose. Despite the many mortgages that were handled improperly from their initiation to their transfer, and even their foreclosure, the plague of Florida home foreclosures has decreased and the plaintiffs are better at presenting their cases (the first time). The narrative of home foreclosures is changing, and the faster you act, the better you can control the storyline. The best success for homeowners is to address mortgage problems as soon as possible and fix them faster, as with a loan modification or repayment plan. If your goal as a homeowner is to remain in the house, you are more likely to have positive results if you act early and act fast. Sometimes this can be done before litigation or after litigation starts, but in many cases it takes the help of a third party professional.

Rusty Collins was admitted to the Florida Bar on September 27th, 2008 and his legal practice has grown rapidly since. His vast experience in real estate motivated him to attend law school, and consequently expand to serve both the real estate and legal needs of his clients. He is proud to provide service in areas where legal and real estate issues often overlap.

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While a large portion of his practice is in foreclosure defense and consumer law, Mr. Collins’ reputation in fairness and honesty has brought him referrals in a variety of legal branches. He builds his professional profile as an attorney willing to do the work and accomplish difficult tasks.

June/July 2014


Travel

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San San Jose Jose


Travel

Cruising the South Pacific, Australia and New Zealand

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Lee-Ann Barker, AAA Travel Professional

he 2007 movie, the Bucket List starring Jack Nicholson and Morgan Freeman, began many conversations among the traveling public about “bucket list” destinations – you know, those places we dream about visiting and hope that some day, before we die, we will have the opportunity to see them. In the years since the movie premiered, many travel industry surveys have asked the public, “What are the top destinations on your bucket list?” And without fail, Australia, New Zealand and the islands of the South Pacific are always in the Top 10. If you too have these destinations on your personal bucket list, this year might be a great time to make your dream a reality. Lying in the southern hemisphere, these destinations make great winter month vacations. As the weather cools here, the temperatures are warm and inviting in the South Pacific. And because these destinations are literally on the other side of the world and require one or more flights to get to, a bit of planning is needed. While you can choose one or two of the great destinations in the South Pacific to visit on your own, many people choose a cruise vacation to maximize their time and money by visiting multiple destinations in one fabulous cruise vacation. Like a string of pearls shimmering along the South Pacific, the natural beauty and incomparable allure of the islands in the South Pacific is irresistible. If you choose to cruise, you will enjoy experiencing the idyllic islands of French Polynesia, from Tahiti to Bora Bora or Nuku Hiva, as one isle after another rises from the sea. Fiji and New Caledonia offer not only pristine

June/July 2014

beaches, but also equally stunning vistas of tropical rainforests. And everywhere you cruise, the crystalline waters of the South Pacific, the lush landscapes, flora and fauna, and the many beaches and lagoons will amaze you with their brilliant colors and stunning beauty. These islands are truly bucket list worthy! The vitality of Australia and the diversity of New Zealand likewise draw travelers. Australian icons such as the Sydney Harbor Bridge and the Sydney Opera House will delight you, as will the beautiful coastline, beaches and perhaps even the island of Tasmania. The rugged fjords and majestic volcanoes of New Zealand will be forever etched in your fondest memories and cosmopolitan Auckland and the Maori culture are meant to be to savored. A cruise to Australia and New Zealand will allow you to see so much more of these wonderful countries – all in one vacation. If you choose to cruise, you can see multiple islands and/or Australia and New Zealand and more in one, two or more weeks – without having to pack and unpack multiple times, change hotels, find restaurants or fly again to another destination on your own. Oceania Cruise Line takes care of all these things for you while moving you from one grand destination to another – in luxury and comfort. And when you combine a cruise with destinations such as the South Pacific, Australia and New Zealand, you can check these destinations off your

bucket list with flair! So don’t wait another day. Call your AAA travel consultant and book an Oceania Cruise to the South Pacific, Australia and New Zealand today!

Oceania Cruises Your World. Your Way.® Award-Winning Mid-Size Ships | Finest Cuisine At Sea | Destination Specialists | Extraordinary Value

I have always had a passion for travel. There is something magical about getting away that brings couples and families closer, allowing them to reconnect. Being able to assist clients in planning their dream vacation is truly rewarding for me. I have been in the travel industry for over 7 years and cannot see myself doing anything else. I have extensive travel experience in the Caribbean, Mexico, and Central America, including cruising. I am a cruise specialist with many of the leading cruise lines in the industry including Oceania. I haven’t been everywhere, but it’s on my list!! Traveling is a luxury that starts with a travel agent! - Lee-Ann Barker , Travel Professional

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Business & Finance

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Is Your Insurance Company Financially Stable

e live in a State prone to hurricanes and other natural disasters, making it critical for home insurance companies doing business in Florida, to have the financial stability to not only withstand hurricanes, but pay customer claims and continue to remain in business after the storm – after multiple storms. Why is this important? To have a high rating by A.M. Best, a company must have enough reserves and reinsurance to survive two major storms or events in a year. You need to be sure your carrier has the resources to match its coverage commitments. If you provider doesn’t have a strong rating, you may want to move on to a more stable, trustworthy provider. Do you remember pictures from disaster areas, with blue tarps on the roof months afterwards, and in paint asking, “(Blank) Insurance where are you?” In any relationship, trust is key, and your relationship with your insurer is no exception. Knowing your home insurer is financially stable is an important element of that trust. After all, you are investing your money in premiums, trusting that the insurer will be able to fulfill its financial obligation to you in the event of a claim. Are you willing to risk a major investment (Your Home) to a company that has no track record, or ratings? Given the potential risk of insurance companies failing, it is best to know the financial status of any company you’re buying insurance from. One benefit of working with an Agency like AAA, we are always keeping close tabs on the financial status of all insurance carriers our agency works with, and recommend working only with insurers that are financially stable with a rating of B++ or better with A.M. Best When you think of AAA, think of “A” Rating Often overlooked during an insurance purchase is a carrier’s financial rating. It is important to at least know what the financial rating of your insurance carrier is. AM Best is a widely used rating organization specializing in the financial and insurance sectors. The AM Best system is an easy way for you to understand the quality of an insurance carrier’s financial stability. Most carriers you are going to find at the retail level will have AM Best rating of A- or better. Occasionally you will find a carrier with a B+ or B++ rating. For the average personal home and auto purchase look for a company rated at least B+ or better.

How stable is my carrier? In addition, you can check on the financial ratings of your insurance carriers by visiting the Web sites of insurance industry rating agencies or by going directly to the Web site of each insurance carrier. Most carriers that are highly rated display their ratings prominently. Rating agencies for the insurance industry include: A.M. Best (www.ambest.com), Demotech, Inc. (www.demotech.com), Fitch (www.fitchratings.com), Moody’s Investors Services (http://www.moodys.com/), Standard & Poor’s (www.standardandpoors.com) As you are going through these different rating companies, and you are looking at your insurer’s rating. You are going to see the rating given is not the same from one rating service to the next. A.M. Best could give one insurance company “B+” rating while Demotech could be giving that company a “A” rating. One company may use their highest rating as an “A” while the other uses a “AAA”. And the “A” from the first is actually better than one with a “A++”. If you find that your present company has a rating that alarms you, consider changing insurers. Ratings also change so it is necessary to review your company at least once a year. Seeking additional advice from your personal Insurance agent would be worthwhile to your financial protection. Don’t be the one stuck with a blue tarp call AAA today!

Karalee Sievert - Licensed Life, Health, Property and Casualty Insurance Agent Karalee and her family live in Ponte Vedra, moving here in 2004 from Connecticut. First licensed in 1997 she shares a vast amount of experience, and knowledge, with her clients, and friends. She is passionate about educating everyone she meets about the laws, and coverages needed in Florida to adequately protect you, and your most valuable possessions. Her favorite saying is, “Your insurance is only as good as your agent.”

Mary Mahon - Licensed Property and Casualty Insurance Agent

Mary has over 10 years experience as an insurance agent, and started in Sedona, Arizona. She moved to Orange Park, Florida in the Spring of 2007. She has been recognized by the company, and honored as the Employee of the Month for the club and accepted into AAA’s Leadership Development Program. She is very eager to sit down with you and provide you with the most professional, friendly and comprehensive insurance learning experience you will ever have. AAA Insurance Agency is available to members and non-members alike!

AAA – The Auto Club Group

Our office in Orange Park is part of the Auto Club Group which has offices in 11 states and Puerto Rico. ACG is the second largest AAA affiliate in the world. Since it’s founding in 1902, AAA has been an advocate for motorists, safer roads and vehicles, better educated drivers and the rights of travelers. AAA is the only company in Florida to offer a true home and auto package with both covered under one policy, often times giving better coverage, as well as substantial savings.

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Business & Finance

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San Jose


Business & Finance

5 Enduring Myths of Online Marketing

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By Jay Owen Owner, Design Extensions

o much has been written and said about finding customers over the Internet in the last few years that I sometimes wonder if it has become our national sport. No matter where you go, or what industry you look at, you’ll find men and women combing the web, looking through statistics, and otherwise trying to gain a leg up on the competition. There’s good reason for this: the right Internet marketing mix can bring you a steady flow of new buyers day and night – a bottom line benefit that’s hard to match in any other part of your business. That doesn’t mean it’s as easy as some people would have you think, however; there is a lot of bad advice that continues to hang around and forces otherwise smart business owners to make bad decisions. Here are five enduring myths in online marketing: 1. That you need a website, not a brand. It seems sometimes like there is a software package for everything these days. Not only can business owners keep their own books, do their own taxes, and draft simple legal documents using a simple PC, but there are titles that can teach you to play the guitar, design a house, and even edit movies. Is it any wonder, then, that the do-it-yourself trend has started to include websites? Plugging some simple text and images into a small business website template isn’t usually the great idea it seems, though. That’s because the point isn’t to just have a site for your company, but to have one that attracts new business. Over time, a customized layout can make an enormous

“The right Internet marketing mix can bring you a steady flow of new buyers day and night – a bottom line benefit that’s hard to match in any other part of your business. That doesn’t mean it’s as easy as some people would have you think.” difference in the percentage of visitors you’re able to turn into buyers. 2. It’s all about spending money. This is probably the biggest myth, and one I hear repeated in various forms all the time. If you want to make profits online, some suggest, or reach the top spot on a major search engine, then be ready to write a big check. Fortunately, nothing could be further from the truth. The web is full of examples of companies that found profits by being smart and efficient, not pouring cash into their programs. Don’t be pressured into making a huge investment that you can afford – spending big is not the only blueprint for success. 3. You should be making sales in minutes. Online marketing can work quickly, especially with tools like pay per click advertising. More often than not, though, it takes time to develop a customer base, online brand recognition, and even a search engine profile to bring you new customers. None of these is easy, and none of them is going to happen overnight. Have a little patience and plan on building your company’s Internet presence one step at a time. It requires a little more perseverance, but it’s also the best way to position yourself for long-term success.

of companies that have done well over the Internet, imagine warehouses full of merchandise at rock-bottom prices. In other words, they assume that online customers will always go for the lowest cost option, and that there’s no room for quality in their industry. But just as some customers will always look for the smallest price tag, online or off, others are seeking a certain kind of product, satisfaction guarantees, better shipping times, or just higher quality. Don’t be dissuaded if you cost more than your competitors – just be sure buyers can see why and let them make the smart choice. 5. It’s only for big companies and “Internet” businesses. This myth is ironic, since it’s usually small, specialized companies that have the most to gain from online marketing. That’s because they tend to be unique; if buyers can’t find what they offer on the Internet, they aren’t likely to find anywhere else, either. The distinctions between an “online” business and one that has a brick-andmortar storefront are blurring every day. If part of your business plan is finding new customers, then having some sort of Internet marketing plan is a good idea. The web is constantly changing, and so there are probably always going to be myths and misunderstandings about how to find customers online. Pay attention and stay informed, however, and you won’t have to fall for any of them.

1998 ▶ Custom Design, Content Management System, Video Storage, Database “Having worked with Jay at Design Extensions for over 11 years now, I would say they are one of the best in providing creative design, quality work with on-time delivery for their web design services. I would highly recommend them to any business of any size for simple to complex web projects.” – Tom Morrison, CEO http://callmti.com

Design Extensions was founded by Jay Owen in St. Johns County over 15 years ago. He and his team at Design Extensions design and develop websites for clients all over the country. His passion is for developing high quality web sites and graphic design work that help his clients businesses grow. When not working on websites, he is usually spending time with his wife, Claire, and four children.

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4. It’s all about low prices. A lot of business owners, when they think

▶ Metal Treating Institute – Jacksonville Beach, FL ▶ Worked with CEO since

San Jose


Business & Finance

June/July 2014

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Women in Profile 16,000 girls in Northeast Florida and program guidance has been requested for replication in 26 states and five countries; including Africa, Ireland and Arabia. To learn more about JA Girl$ visit SmartWomenMakeChange.com

Elizabeth relocated to Jacksonville from Minnesota in 1999 and

lived in the San Marco/Lakewood/San Jose areas until August 2013, when she purchased a home in Atlantic Beach. She holds a Master of Business Administration and Bachelors Degrees in Recreation and

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Women Studies.

Elizabeth Paulson, JA Girl$ Program Director Junior Achievement of North Florida (JA)

She is an active member of Bright Holidays, Voices for Florida, Generation W and Generation WOW. She is a lifetime member of Delta Mu Delta Honor Society, Powerful You and Girl Scouts of the USA. Elizabeth travels as often as possible and enjoys time outside, gardening, walking and biking.

lizabeth’s purpose in life is to inspire change and empower

women. In 2006, with over 32 years of gender specific education and experience, she was hired to create and implement JA Girl$. JA Girl$ teaches girls about money, career readiness and entrepreneurship. Since the program’s inception, JA Girl$ has served more than

aware State this fall. Both sisters are attending college on Academic and Golf Scholarships. Pepper and her family spend most of their free time on the golf course. Golf has played a major role in her life. From 2001-2013, she was a major part of The First Tee of Jacksonville organization as its Executive Director. She helped grow The First Tee program from impacting just 30 kids, to helping more than 1,000 children annually by teaching them life

Pepper Peete, Director of Development Youth Crisis Center

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skills and golf skills. Pepper became known as Ms. First Tee!

A career shift came for her in the fall of 2013 when she found

a new passion as Director of Development for Youth Crisis Center. YCC provides care to kids in the community who are in need of Therapeutic Counseling, Short Term Residential Shelter, and also by providing Transitional Housing for kids who have aged out of foster care (ages 18-21). As the Director of Development for YCC, Pep-

epper Peete was born in Den- per is responsible for community awareness, event planning, and

ver Colorado. She moved to Ponte Vedra Beach in 1992 with her husband donor cultivation. Calvin Peete, who is a 12 time PGA Tour Winner and 1985 Player’s Cham- Pepper is involved with Executive Women’s Golf Association pionship winner. Pepper and Calvin are parents to Aisha Peete, who is a and Atlantic Coast Dance Studio. She is a member of Faith Chrisjunior at Delaware State University in Dover, Delaware and Aleya Peete, a tian Center, now known as Impact Church, and participates in many 2014 graduate of Ponte High School, who will be joining her sister at Del- community activities.

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San Jose


Women in Profile ing an end-of-life care discussion with family and friends. She believes this type of conversation is needed even if it won’t be easy. “It needs to be in writing and it helps the doctors do their jobs,” she said. “It’s not about dying,” said Kathy. “It’s about comfort and enjoying life.” Haven Hospice is an end-of-life and palliative care expert, receiving national recognition as a Circle of Life Award Recipient from the American Hospital Association for its excellence and innovation. Haven has also been recognized as a Florida Pacesetter for its leadership in promoting advance directives. For more than 35 years Haven has had the honor and privilege to serve more than 68,000 patients and families in North Florida.

Kathy Harris, Haven Hospice Community Advisory Board Member

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Kathy is now a member of the Haven Hospice CABs in Jacksonville and Orange Park. Kathy said she has enjoyed being on both CABs because she believes giving back to her community is the best way to spend her time. “The people at Haven Hospice make it so easy to be involved,” said Kathy. “I think it’s the warmth that is felt within the organization.” Kathy is also seeking to establish one of the newest Haven Hospice signature fundraising events in the Jacksonville area. “We’re considering an Island Oasis theme so the men can be in their Tommy Bahama shirts and the ladies can be in their sundresses,” said Kathy. “We’re going to be having fun and raising awareness for Haven Hospice.” In addition to her positions with the Haven Hospice CABs and the Duval County Medical Society, Kathy is also the president of the We Care Executive Board in Jacksonville. When she is not volunteering her time, Kathy and her husband of 26 years enjoy spending time with their two grandchildren. Kathy looks forward to watching her grandchildren practice and play soccer and hosting sleep-overs on Friday nights. “I am very fortunate to have special moments like these with my son, his wife and their two children.”

athy Harris was encouraged by a friend to become a member of the Haven Hospice Jacksonville Community Advisory Board (CAB), but what convinced her to join were the facilities and mission of Haven Hospice. “I was so impressed with the Custead Care Center and Haven’s mission of honoring life while providing comfort, care and compassion,” said Kathy who is a long-time member of the Duval County Medical Society. Once Kathy got involved with Haven Hospice, she attended a meeting with Haven Hospice Regional Medical Director Dr. Neel Karnani where he spoke about encouraging families to have the end-of-life discussion. “It was in that moment that it all connected,” said Kathy. “I’m an advocate for palliative and hospice care!” At that moment, Kathy understood the importance of hav-

projects in theatre. Still wanting to pursue film, she moved to Los Angeles and had a successful career as a film and T.V. actress.

Loving every aspect of the film business, Jill went on to form her

own production company and wrote and produced industrials for such names as Pepsi Cola and Radisson Suite Hotels. Jill also formed her own acting studio and Talent Management firm in Hollywood and for the last twenty years has discovered, taught and managed film careers of

Jill Donnellan, Actor, Writer, Agent and Acting Coach

top Hollywood names. She has coached actors for every major studio. During this time, Jill was asked to become a scriptwriter for the hit kid’s

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show “Power Rangers”, and has continued to write for the iconic show for the past fifteen years.

After visiting her family in Julington Creek, Jill decided to move to St.

Johns and bring her expertise of 35 years to Jacksonville. “I love it here!”,

she states enthusiastically. Jill currently teaches acting classes at Julingill was raised in Bermuda and ton Creek Plantation Club. She also conducted seminars and workshops discovered the allure of film when at the World Arts Film Festival in Jacksonville this past May. Go to www.

she became the understudy for Jac- actorsinmotion.com for more information. queline Bissett in the hit film “The Deep” starring Nick Nolte. Deciding to pursue her passion for acting, she studied at the American Academy of

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Dramatic Arts in Manhattan and N.Y.U.; where she went on to do numerous

June/July 2014


Community

We Thank You

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By Mary Rigsbee Haven Horse Ranch

he forecast was for rain most of the day! That did not make for happy workers, as there was so much to be done. We were hoping for 200 plus people to arrive around 6:00 p.m. and rain would keep most away. This was the day of our biggest fundraiser for the year. This function helps support the children and the ranch for the majority of the year! The horses were frisky because the rain and all the activity meant they could not be let out of their stalls which did not make them very happy with anyone. They had to watch hay laid down all around them to make walking paths to the tent in the arena. This was not something they like either as they like to munch on hay! It just was not their day! The tables were up but had to be set with tablecloths, runners, and centerpieces, plus the decorations had to be

put all around the area. This was a challenge when bursts of rain came in and small holes were found in spots of the tent! Auction items had to be moved and dried, new flyers had to be printed, and tables had to be moved. Tea had to be put in mason jars and then on ice. But, no matter, we would make this barn dance the best event yet! I was coming out of the house from making the latest copies when I spied Ric standing outside the porch door looking up to the heavens. I heard him

Just before 6:00 p.m. they started arriving, and they kept coming. We could not believe that so many came out with all the rain during the day, but we have the best supporters of any foundation. The musicians were playing island music, people were dancing, and everyone was excited for the food to be ready and the auction to begin. One of our kids spoke of her life changes since she has been coming to the ranch. There were tears and cheers throughout the tent! She has come such a long way and made so many improvements in her life! Others of the kids danced and just visited with everyone. It was a grand time had by one and all! The night was a glowing success and exceeded all our expectations! Haven Horse Ranch would like to thank

everyone that came out for our barn dance “A Night in the Islands” or others that support the ranch in all the many ways you do from volunteering, sponsoring, mentoring, and so many other actions that it takes to make Haven Horse Ranch such a success.

exclaim just one word, “Really”? About that time the sky opened up and it really started raining! It was like the Lord saying, “Yes, Really! Because I am in charge!” Ric bowed his head and I could just imagine him saying to himself, “Yes Lord, you are in charge!” I had to look another direction as Ric stepped out into the rain going toward the barn. I made it to the tent, keeping the copies dry, and finished the project I had. We had done all we could by 5:15 p.m. You could smell the food in the tent and we all wanted to get just a little sample. The Tropical Smoothie booth was set in the corner. The tables were all ready and waiting for our guests, the auction items were all spread out at the end of the tent, and the band was ready to play until it was time to go home. We looked up and all we could see were clear skies! There were still a few puddles around but nothing that would not soak in within an hour. The temperature stayed mild for the whole evening. Yes, we all realized, He was in charge!

Haven Horse Ranch, a non-profit, 501c3 organization is a licensed SpiritHorse Therapeutic Riding Center and member of PATH (Professional Association of Therapeutic Horsemanship). The ranch provides riding lessons, horse camps, clinics , retreats and trail rides to all individuals including those with special needs. “Horses just have a way of breaking down barriers,” explains Lehman. Whether child or adult, whether “normal” or “special needs” doesn’t matter to the horse. If you’re good to them, they’ll do right by you.” To sponsor a child, make a tax deductible contribution or for more information contact Haven Horse Ranch at 904-813-5710 or info@havenhorseranch.org or visit our website at www.havenhorseranch.org.

June/July 2014

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Why

should your business or practice become a contributor to the Woman’s Journal?

Kathleen Abbott, Managing Partner, MSW, LMHC The LifeSource Group

John R. Jones, Jr, Managing Partner, MBA, MA, LMHC The LifeSource Group

“Working with Anthony and The Woman’s Journal has been a tremendously rewarding experience for our clinical counseling practice. We are reaching individuals and families who may or may not have heard of us, but most importantly, by reading our articles, they grow far more comfortable with the counseling process and who we are as therapist. It’s as if we are already having our first session together, addressing expectations and uncertainties that are part of the deeply rewarding experience of psychotherapy. When the phone rings (and it does far more frequently now), our readers already feel a sense of knowing us and, we too, feel a special connection with them when they say they saw us in The Woman’s Journal. Finally, the publishing deadlines become a gift by forcing us to focus on the most important issues impacting individuals and families within our very special community. Thank you Woman’s Journal!” - John R. Jones and Kathleen Abbott – The LifeSource Group

“Being a contributor in The Woman’s Journal has benefited me and my company a great

The woman’s journal is a superb educational tool and is a great resource for the com-

deal. It continually proves to be an excellent marketing tool for our services and goes “be-

munity at large to gain factual knowledge written by leaders in their field.

yond local” to attract customers to our door. It’s an appealing, informative and popular

- Dr. Ryan Pereira, DPM, FACFAS

publication that gets results.” Betty Carvajal, PhD – Ponce Home Medical Equipment, Inc.

“Over my five years of business, the SAWJ has been the most effective tool to bring customers to the shop. Everyone who opens this publication is impressed

“Thank you, Woman’s Journal for your many contributions to our community! Your paper

with its content and anxiously awaits the next issue. Partnering with Anthony

is full of important information on issues that affect the quality of life for all of us who live

and Suzanne has been an exceptional way to reach new customers and remind

in St. Johns County. I can’t tell you how many times someone has asked me for details about

existing customers.”

something they read in the COA column in your magazine...probably because the Woman’s

Susan Detar,– The Pink Door

Journal is one of only a very few publications that everyone I know reads from cover to cover...and because your distribution is awesome... this magazine is everywhere! People re-

“I cannot tell you the number of patients that have found their way to our office in re-

ally do come up to me and say, “I read about you in the Woman’s Journal while I was at the

sponse to their having seen our articles in the Woman’s Journal. From former patients

library...or waiting at the doctor...or in my dentist’s office...!” Or better yet, “I know you...

who lost touch years ago who were delighted to see a familiar face again, to brand new

you’re in the Woman’s Journal!” You rock!”

patients who have never seen a podiatrist before, but who felt so encouraged by what

Susan Johnson – Council on Aging

they read that they placed that important phone call. The Woman’s Journal is a publication that is informative, inviting and compassionate to it’s readers. We are proud

“The Woman’s Journal has been a great asset to our community. I love sitting in doctor’s of-

to be associated with the Woman’s Journal and so pleased with the increased business

fices and watching people pick up the Journal and enjoy the articles. It has certainly spread

we’ve experienced as a result!”

the word about our mission at St. Gerard Campus. We have had the opportunity to touch

Amy Smith – Practice Manager, Coastal Foot & Ankle Wellness Center

people’s minds and hearts with the plight of pregnant teens and teen mothers who otherwise might not have had the opportunity to finish high school and make a better life for them-

“The Woman’s Journal has really helped me build business for the AAA Travel department

selves and their children. Through the Woman’s Journals we have been able to share the

in St. Augustine. I ‘ve been contributing articles for just about a year now and hardly a day

success stories of our graduates. We thank the Woman’s Journal for bringing attention and

goes by that someone doesn’t mention the fact that they have seen us in the SAWJ. I have

awareness of issues facing women today.”

made some VERY profitable sales because of this exposure and feel so lucky to be partnering

Maria Gleason - St. Gerard Campus, Inc.

with Suzanne and Anthony . Thanks for all your support.”

“From professional offices to public libraries, and even the regional airport, my clients

Kelly M. Monroe, The Auto Club Group

and future clients can find me in the St. Augustine Woman’s Journal. Great distribution and content.” J. Russell Collins – Rusty Law “I am always so pleased to have customers tell me how they came to our restaurant while browsing through the Woman’s Journal. The articles are informative and the distribution is widespread. We are very grateful to the staff of Woman’s Journal for encouraging us to update our ads. This has definitely increased our business.” Yvette Schindler – The Present Moment Café


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or Monterious Philip, the Youth Crisis Center is more than just another non-profit organization. For him, it is a ray of hope. After bouncing from home to home during his childhood, Monterious found himself alone and homeless on the streets of Jacksonville. He found his way to YCC in hopes of just a place to sleep. What was provided to him was more invaluable than he could’ve ever imagined. “They taught me independent living skills… It’s a wonderful place to learn and a very tightknit community,” he says. When the Youth Crisis Center opened its doors in 1974, never would they have imagined looking back four decades later only to find that more than 1000 families per year have benefited from their services – children just like Monterious pulled back onto the right track and families made whole once again. The Youth Crisis Center has led the way for families in our community to find help and guidance in strengthening the bond between parents and children. YCC also offers a safe place for children who have aged out of the foster care program but still lack the life skills and financial means to live on their own. None of this would be possible without the help and support of the Jacksonville community. Donations made to the mission and volunteer hours selflessly contributed are what have kept the YCC doors open for 40 years. Just last month cornerback for our own Jacksonville Jaguars, Will Blackmon, and his wife, Shauna, donated their time and efforts to make YCC’s

June/July 2014

Community

Youth Crisis Center

Derby Day at THE PLAYERS event a huge success. This sold out event proves the dedication and pride that the YCC team and supporters carry for this mission. “Our community is what keeps us going. We are thankful for every dollar and every volunteer hour that goes toward helping Jacksonville’s youth,” says Greg Steele, President and CEO of YCC. YCC continues to be one of the highest scoring residential programs in the

Department of Juvenile Justice’s Quality Assurance process. As a leader in the field, YCC has launched and championed a variety of innovative programs over the years, the most recent of which is Touchstone Village. Today, Monterious is still living at YCC and is President of the Resident Board. When he isn’t attending classes at Florida State College at Jacksonville, he devotes

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time to pass on the skills that he learned from the leaders at YCC. “It’s always good to know you’re helping someone who just wants a better future,” he says. How do you help your community? What do you contribute to the children like Monterious who are in need of support and guidance? Without community efforts, YCC would no longer exist. Contact us to see how you can help!

Hopeline: 877-720-0007 Youth Crisis Center 3015 Parental Home Rd. • Jacksonville, FL 32216 904-720-0002 info@ycc.org


Community

Junior Achievement Volunteers Spark Success By Stephanie Pfister, Marketing Manager Junior Achievement of North Florida

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ince 1963, Junior Achievement of North Florida has educated Jacksonville’s youth on the topics of financial literacy, work readiness, and entrepreneurship using experiential, hands-on programs. Volunteers are crucial to JA’s mission. Junior Achievement is projecting that 900 volunteers will teach JA programs to 40,000 students this year. JA volunteers come from all walks of life but they all have a common vision: sharing a message of hope and opportunity with each and every young person they reach. “Volunteering is a way to directly influence and change someone’s life,” said Tiffany Mackey, Junior Achievement vice president of programs. “JA volunteers are enthusiastic and willing to share life experiences.” Want to volunteer close to your neighborhood? Teach a specific school grade? Interested in the concept of single-gender learning environment? JA has a program for you! JA programs span grades K-12 and consist of five to six lessons depending on the grade level. Volunteers teach one lesson per week for five to six weeks during school hours. After-school programs and summer programs are also available. Here’s how it works. A JA program staff member will discuss school, grade and schedule preferences with the volunteer. Volunteers are then given a JA program “kit” that contains all the materials necessary to teach the lessons and are trained to conduct the program. Volunteers have the option of teaching traditional Junior Achievement classes, that is, classrooms of boys and girls in kindergarten through 12th grade, or teaching the JA Girl$ or JA Boy$ gender-specific programs. JA Girl$ was created in 2006 here in Jacksonville. Female volunteers use JA’s age-appropriate curriculum to equip girls with financial know-how. Female volunteers are trained in strategies for working with girls, such as ‘girls need time to talk’ and ‘trauma drives behavior.’ “The strategies for working with girls create fertile

ground for girls to fully understand what JA teaches, ‘financial literacy, workplace readiness and entrepreneurship,’” said Elizabeth Paulson, JA Girl$ program director. The JA Girl$ program, once unique to North Florida, is now being replicated in over 20 cities in the U.S. and five foreign countries. JA Boy$ was formed in 2013 as a mirror-program of JA Girl$, connecting young men to positive male role models. “Empowering males to means is A portion of Florida Blue’s 100 “JA in a Day” volunteers before heading into classrooms at Don Brewer Elementary, one of three schools impacted by Florida Blue volunteers on May 29.

Beth Tramel, Supervisor, Minority Business Affairs Office - DCPS, teaching the fundamentals of personal finance to seniors at Ribault High School.

the goal,” says JA Boy$ Program Manager Jonathan Bishop. “We want to inspire and encourage boys and young men to develop knowledge of finance, understand the power of their choices, and achieve their full economic potential.” Community businesses offer another way to volunteer with JA. Area companies provide volunteer groups that take over entire grade levels or schools to teach JA programs during what is called “JA in a Day.” With “JA in a Day,” volunteers teach all five lessons of a JA program in one school

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day, a process that normally takes five to six weeks to complete. This accelerated program delivery is a way for community business people to share their experience with children and convey the importance of setting goals and staying in school. To learn more about Junior Achievement please visit www.jajax.com. If you are interested in becoming a volunteer, please contact Tiffany Mackey, VP of Programs, at 904-398-9944 ext. 230 or email tiffany@jajax.com.

San Jose Jose San


Community

The Healthy U Now Foundation Approach to Autism What If?

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Julie A. Buckley, MD

everal weeks ago, the CDC released the latest autism statistics. The number has risen to 1 in 68. It represents a 30% increase in the rates since 2012. The announcement of this alarming escalation in rates was met with resounding silence from a country whose citizens seem to have gone numb to reports of the endlessly rising numbers of children with autism.

• What if there was a place for the entire family to get the help they needed when autism lives in the house? • What if there was a place for families to be able to learn and share their wisdom about nutrition, diet, and nourishing themselves? • What if there was a place that siblings could do homework or relax while a child with autism received therapy? • What if there was a residential setting, both short and longer term, where gluten free, casein free, organic diets, and supplements were the norm and expected parts of health and healing? • What if there was a place with myriad therapies from dogs to zip lines, organic gardens, work/ educational opportunities, and healthy living environments all rolled up into one? • What if the community was welcomed to come in, to embrace the lessons of health and healing that our children with autism are teaching us, to participate, and to be a part of this therapeutic center? • What if all this was rolled up into one facility?

The HealthyUNow Foundation Committed to creating a centralized acts from these central beliefs- comprehensive care community for chil• • • •

Every 11 minutes another child is diagnosed with autism.

Autism is an environmentally induced medical disease Autism is treatable Autism is preventable Recovery IS possible

dren with autism and their families, the HealthyUNow Foundation is preparing to put flesh on this dream. Founded in 2012 as a 501c3 nonprofit organization, our goal is to bring the vision of this centralized community to life. Our initial location will be in NE Florida. Currently, we are in the process of raising funds to secure a location where we can begin to put our concepts into reality. For more information or to donate, please call us at 904-834-2938 or visit our website at www.healthyunow.org. Please help our autistic children.

Bird’s Nest

Center for Autistic Children

On average it costs $3.2 million dollars to raise a child with autism over the course of a lifetime. And there is no end in sight. Unless you change your approach to the problem.

Julie A. Buckley, MD owns Pediatric Partners of Ponte Vedra and is a founding member of HealthyUNow Foundation, a 501c3 nonprofit organization. Dr. Buckley has written two books: “Healing our Autistic Children” and “Breast Cancer: Start Here”. Donations to HealthyUNow’s building fund are greatly needed and tremendously appreciated. To make a tax deductible donation, please contact: www.healthyunow.org or HealthyUNow Foundation, 5270 Palm Valley Road, Ponte Vedra Beach, FL 32082; 904-834-2938

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Community

Dreams Come True of Jacksonville celebrates 30 years of fulfilling local children’s dreams…and many more to come

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n 1984, Dreams Come True of Jacksonville was founded through the power of one special dream. The late Thomas R. McGehee, Chairman of Mac Papers, and his wife, Delia, met a 17-yearold boy who was battling Cystic Fibrosis. This young man, George Lee, loved golf! When McGehee learned this, he arranged for George to be paired with Fred Couples and play in the Pro-Am of the TPC. Following an exciting round of play, Couples gave the young man his driver. A year later, George lost his battle with Cystic Fibrosis and his prized club was buried at his side. McGehee partnered with business leaders Hugh Jones, Chairman of thenBarnett Bank; Jay Stein and Jack Williams of Stein Mart; and the late Roy Baker, M.D., Chairman of the Board of Directors of University Medical Center. These gentlemen, with the help of McGehee’s godson, Dr. Paul Wharton, came together to develop Dreams Come True of Jacksonville, a nonprofit organization dedicated to granting the dreams of local children with life-threatening illnesses. This year Dreams Come True of Jacksonville celebrates 30 years of fulfilling the dreams of local children and their families. Dreams provide these wonderful children and their families with a momentary reprieve from the rigors of medical treatment often associated with life-threatening illnesses. While these precious children may be physically restricted, their dreams are endless, like Makenzie. For four-year-old Makenzie, every day is filled with joy and sunshine. You would never believe that since birth she has been battling Tetralogy of Fallot, a congenital heart defect, which has caused various heart complications and procedures. “When Makenzie was born her blood oxygen level was only 70%. When she would cry her lips and face would turn blue because of the low oxygen levels. How do you stop a baby from crying? It was very scary!” stated Jessica, Makenzie’s mother. Makenzie had her first open heart surgery within 5 weeks of being born. What has followed has included numerous

procedures, along with several doctor and hospital visits. When Makenzie was referred to Dreams Come True of Jacksonville by Dr. Lacey at Wolfson Children’s Hospital she had a choice to make … what to do for her dream! One day while watching the television, Makenzie saw a Disney Cruise commercial, and fell in love with the thought of being on a “big boat” with all the Disney characters, especially the princesses. With her parents, Makenzie sailed on the Disney Dream cruise ship in August 2013. Aboard one of Disney’s largest ships, Makenzie enjoyed a majestic time at sea. Days included splashes in the AquaDuck, the first water coaster at sea, plus special dining experiences and interactions with Disney characters. Special stops included Nassau and Disney’s private island, Castaway Cay. Accommodations included a deluxe stateroom with an oceanview, providing plenty of luxurious space for her and her family. “Makenzie’s Disney Cruise dream gave us a chance to forget about the obstacles she had and will endure. It gave us a chance to have a family vacation and experiences that would never have happened when the ‘extras’ in life are tied up due to medical costs. Seeing the smile on her face from morning to night is something we will always remember. We will forever be grateful,” stated Jessica. Makenzie’s story is just one of more

Makenzie is ready to set sail on her Disney Cruise Dream aboard the Disney Dream ship.

than 3,000 that fill the Dreams Come True office in Jacksonville’s Southpoint business park. With a dedicated staff of seven, every day is focused on the ability to transform what was once dreams of children into reality. For many children, their struggles also do not end after their dream, and for that reason Dreams Come True of Jacksonville not only grants the dreams of children, but provides support through a program called Special Times. Special Times provides the dream child and his or her family a time to momentarily forget the realities of life-

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threatening illnesses. It may be dinner at a favorite restaurant, tickets to game, a relaxing evening at the movies or even a special holiday or birthday treat. Whatever the opportunity, Special Times reminds the children and their families that they are special and loved. On June 7, Dreams Come True came together with PRI Productions to host a fun-filled day for 30 dreamers and their families. PRI Productions transformed its Kings Avenue facility into an enchanted getaway, where dreamers were greeted by characters on the red carpet who escorted them to special rooms so they could transform into their favorite princesses and superheroes. The day was filled with music, games, magic, food and fun; and created smiles and memories for these young heroes who are battling life-threatening illnesses in our community. From fulfilling dreams to providing Special Times, Dreams Come True of Jacksonville has become a resource for families in need. The honor of never denying an eligible child a dream or having a waiting list is a goal that Dreams Come True of Jacksonville will continue to achieve each year because of the local community. It is only through private donations and generous individuals volunteering their time that Dreams Come True can continue to bring a ray of sunshine and hope to families who have been struck by the harsh realities of life-threatening illnesses.

San Jose Jose San


Community

What Will Make a Difference in Your Child’s Life?

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By Caroline A. Wolff, Founder, St. Gerard Campus, St. Augustine

ou should desire that your child, or children, have the best. How? Education is the answer. Education can take on its own life. Unfortunately, the part of education that plays a huge role is the ability to discuss or communicate to anyone of any age. So many people - young and old - do not have an evening meal together. This is the time to pray together, discuss family matters, scholastic issues and even evaluate world events. Statistics have proven this is the key to help communicate to your family, whether large or small. It is a major key in developing communication and how the process makes a difference in your child’s life. By developing the skills at an early age in how to talk intelligently and cohesively with one another, young adults can send a text message to anyone in the world and constructively say so much on Facebook. Later on young people may be able to communicate better than most adults. They also acquire the ability to talk to their children in a productive and loving fashion. Most of my history classes were a part of the dinner table discussion. My father spoke to us about events all over the world. This type of discussion did not allow for derogatory debates or hurtful comments, but rather it became a miniature form of home schooling. However, I attended a fantastic public high school in a small town. One of the major elements in my academic home life was to sit at the dinner table after the school day was over to bring my family up to date on my classes, teachers, sports participation, and upcoming events. Then another family member might discuss some event, for example, some event occurring in Europe. I learned how to state my opinions in a non-abrasive

June/July 2014

“Sharing food is a ceremony in any event. My hope is that we have more people in America doing that. Take a little time out of your busy schedule to sit down to share a meal with those you love. Let your children especially know that you are interested in their day. manner, and I learned to listen to what others had to say. Communication skills were learned at home and practiced outside the home. Sadly, one very evident aspect of life we encounter today is that the teenagers we encounter are not always able to hold a conversation. Globally, although times have changed, every country in the world attempts to hold fast to the concept of an evening meal and the importance of time spent together sharing, loving, praying – communicating. The idea of a shared dinnertime with family and friends goes back to the history of many nations, including the Passover Supper. If we, as a nation of families, do not take time to share a meal with each other, we often travel further down the road to becoming more dysfunctional. Sharing food is a ceremony in any event. My hope is that we have more people in America doing that. Take a little time out of your busy schedule to sit down

to share a meal with those you love. Let your children especially know that you are interested in their day. Here at St. Gerard Campus, on Friday June 13, 2014, our fully accredited Christian high school will graduate sixteen young ladies. Many of these students never dreamed they could graduate from high school and care for their babies at the same time. A highlight of the ceremony will be the “capping of the babies”, because they too went through school with their mothers. It is so rewarding to run into former St. Gerard students who now have careers in nursing, law, and other professional occupations. Through communication and love we are making a difference in the 32 years our school has been open in St. Augustine. Please continue to be a reader of this page. All of us here at St. Gerard Campus thank you for your generous donations, through the years, including food sup-

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plies, and we hope that you will continue to share your confidence, goodwill, and prayers for our teachers, students and staff, knowing that you too have made a difference our children’s lives.

St. Gerard Campus 1405 US Highway 1 S St Augustine, FL 32084

(904)829-5516

www.stgerardcampus.org


Community

Celebrating the “All Stars” of The Northeast Florida Healthy Start Coalition

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he crack of the bat, the smell of popcorn and the cheer of the crowd, sure signs that it is time for the Northeast Florida Healthy Start Coalition’s Rounds at the Grounds “All Stars” exhibition softball game. The signature fundraising event is scheduled for Thursday, August 21st 2014, just before the Suns take on the Pensacola Blue Wahoos. The popular matchup, now in its fifth year, will challenge area medical professionals to take on popular community leaders

communities,” said Jennifer Gornto, Executive Director, Northeast Florida Healthy Start Coalition. “Infant mortality is considered a sentinel indicator of the health of a community. The money raised for this event will help to support the sustainability of key Coalition activities that improve the health of families living in Northeast Florida.” from the First Coast. The competition will highlight the importance of getting the community to join together to reduce the area’s high infant mortality rate and improve the health of women, children and families in Northeast Florida. This year’s theme “All Stars” also celebrates the great work of those who have supported the Coalition’s efforts for more than 20 years. “This is an event we look forward to every year to celebrate the achievements we are making towards saving babies, strengthening families and building

The 2014 Rounds at the Grounds “All Stars” festivities are scheduled to begin at 4:45pm on Thursday, August 21st 2014, at the Baseball Grounds of Jacksonville, followed by the Suns versus the Pensacola Blue Wahoos. Tickets are specially priced at $10.50, the game will last approximately 1 hour and admission to the Jacksonville Suns game is included. For more information or to schedule an interview, please contact Charlene Shirk, Event Media Coordinator at 904-860-2991 or Charlene@charleneshirk.com.

The Northeast Florida Healthy Start Coalition, Inc. was organized in 1992 as part of a statewide network of community-based organizations to reduce Florida’s high infant mortality and improve the lives of pregnant women and their families. The group is governed by a volunteer board, which allocates state funding and provides oversight to local agencies that deliver services to pregnant women and families of newborns. The Coalition covers Baker, Clay, Duval, Nassau and St. Johns counties. For more information about the Northeast Florida Healthy Start Coalition please go to nefhealthystart.org or for more information about tickets to Rounds at the Grounds please contact Sara Rieger at 904.723.5422, ext. 124 or srieger@nefhsc.org.

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Fashion & Beauty

Eyebrow is the king of beauty Photo by Christine Cousart www.cousartphotography.com

rocketed. The hair removal technique is not just for the eyebrows: threading can be used to remove other facial and body hair as well. Benefits of eyebrow threading The benefits of threading for smooth hair removal includes exfoliating, but

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How is it practiced? Practitioners use a pure, thin, twisted cotton thread, which is rolled over untidy hairlines, moustaches and so on, plucking the hair at the follicle level. Unlike tweezing where a single hair is pulled out each time, threading can remove an entire

threading otherwise it could result to uneven eyebrow. My threading methods include a specialization in eyebrow design. How long does threading last? Usually it lasts 3-4 weeks. You may

By Fatemeh

yebrow shape is one of the most important parts to beauty. Your eyebrow shape depends on your facial features. It can help you look younger and â&#x20AC;&#x153;liftâ&#x20AC;? the eye so it appears firmer. It especially important to shape your eyebrows if you wear glasses. Eyeglasses will make eyebrows look worse if they are not well shaped and groomed. Eyebrows frame the face and will also frame the glasses. I believe the eyes are the windows to the life force or soul of a person. And, the eyebrows are the window treatment for the eyes. What is eyebrow threading? Eyebrow threading is a depilation technique that originated in Persia, although it is also widely practiced in the Middle East. Salons in western nations offered the service to Middle Eastern clients for decades before European and American women became interested and the popularity of eyebrow threading sky-

not peeling skin, little or no redness, swelling, irritation or bumps, hair does not grow back as fast, and hair re-growth is finer, plus threading removes even the finest of hairs and skin feels smooth.

row of hair, resulting in a straighter line. Who should practice eyebrow threading? It is important to find an aesthetician who is experienced at eyebrow design

have to wait 4-6 weeks for your hair to grow back.

Come visit me and get the eyebrows of your dreams!

Fatemeh has practiced the art of threading internationally for 33 years, and in St. Augustine for almost 5 years. Threading is gaining in popularity and is increasing in demand among top salons throughout the world. It began as an ancient Indian all natural, safe, simple and fast effective method of facial hair removal. Facial threading is the best alternative to waxing and tweezing, especially for sensitive skin or people who are on prescriptions for the complexion.

June/July 2014

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Fashion & Beauty

“Slow Down...You Move too Fast”!

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Christine Cousart

Owner, Cousart Studios & Go Fish Clothing & Jewelry

f you spent any time in the late sixties, the above phrase will inevitably bring up the word “groovy” some where in your brain. Summertime IS that time to slooooow down and enjoy family and friends. Make plans to have a picnic or a fun family dinner. Try an Indian or Thai recipe and then make homemade icecream. While your at it... think about getting a family portrait. There are so many times you are together with your loved ones and somehow you forget to get out the camera or you get so relaxed its easier to let it pass you by. My answer to that is “Seize the moment”! You have to be proactive and organize! Whether it is grabbing the camera on the spur of the moment and gathering the troops or deliberately scheduling a family session with a pro.

If you decide to do the latter, here are a few pointers: • Schedule your session at sunset. The light is perfect. • Consider your wardrobe. You don’t always have to have everything match-

ing. Think about what you would like your end result to be. If you want contemporary and modern, try black clothing with a black background. Traditional on the beach with white shirts or pastel colors. Eclectic - purposely combine compatible prints and plaids on a beautiful nature path. It can work if done properly (this is where your photographer can help) • If you have small children, make sure they are rested and not hungry. I always recommend not making a big deal about photos and not even tell them about the session. Perhaps talk about something that will happen after the photos. Let the photographer relate to your children and trust them to get that smile. Too many competing for their attention can lead to disaster. • Discuss with your photographer what you want. Is it just wallets or small 4x6’s to put in Christmas Cards or is it the family portrait on canvas above the fireplace? Perhaps you want a photo album for your grandparents or parents for Christmas. Your photographer can plan and make sure the end result meets your expectations. • Its okay to ask a photographer about pricing for a session and individual sized portraits. That should be part of the process. Check out their website for ideas and samples of their work. Most photographers these days accept credit cards.

Let me make your moment last forever!

These are a few things that may be helpful to you. Please contact me if you have any other questions. I will be glad to help. I would also like the opportunity to capture your family portrait this summer. Time is precious and you never know when things will change!

Testimonial from Richard J. Van Dort My wife and I knew it would be hard to move away from our family so when we had the chance to have everyone here at Christmas, we decided to get a special family portrait of all of by the ocean. We wanted to reflect the heart of our family as well as the surroundings of the beach. Christine knew how to capture the essence of our family with her excellent eye for detail and her easy going nature. She put everyone at ease and took many different shots and poses with the setting sun and the incoming tide surrounding us all. We all had a very positive experience and the photos are exactly what we were looking for. I have also used Christine for my business photos as well. I would not hesitate to recommend Christine for any occasion. She was a delight to work with.

...”You’ve Got to Make the Morning Last”.

Christine Cousart has lived in St. Augustine since 2004 and says that it is the closest to the life she had when growing up in New Zealand. She owns Go Fish Clothing & Jewelry downtown Saint Augustine and Cousart Studios of Fine Art & Photography. She enjoys painting in all mediums as well as photographing a variety of subjects. She and her husband Kevin have two children that have graduated from Flagler College and one child that is in the AICE program at St. Augustine high school. vThe family loves to travel frequently and loves their relationship with many friends in the community. Cousart Studios of Fine Art & Photography | www. cousartphotography.com | 904.687.7700 | 320 Hightide Drive #101 | Saint Augustine, FL 32080

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San Jose


Food & Entertainment

Where’s the Beef? Why, Florida of Course!

By: Warren Caterson, Author

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Table for Two - Back for Seconds

hen you think of the origins of that great steak or beef roast you had the other night, where does your mind wander? To the grazing lands in the shadows of the Rockies? The stockyards of the mid-west? Exotic locales like the Matsusaka region of Japan or

the Margaret River region of Western Australia? If it did, no one would blame you. Because these areas are noted for their beef production. But did you know Florida was right up there with them? Me neither. Until a couple of years ago. Who would’ve guessed that Florida is home to four of our country’s 10 largest cow/calf ranches? Or that we rank #12 in the nation in the number of beef cows? Heck, nearly half of all of Florida’s agricultural land is devoted to beef production. Oh, and these ranchers are excellent caretakers of their land, providing thousands of acres of important green space for both wildlife and native plant habitat. So next time you’re cruising along the interstate or some back road and you pass a herd of cattle grazing on a vast expanse of pastureland, remember the important part these ranchers play in both our environment and our diet. And when you get home, fire up the grill and prepare this Florida feast. Bon Appetit! Chef Warren.

• FLORIDA BARBEQUE CHUCK ROAST • PREP: 15 minutes • MARINATE: 6 - 8 hours • COOK: 2 hours

Who would’ve thought that this inexpensive cut of meat could turn into a deliciously tender meal? I guess it was up to the early Florida cattlemen. And I’m glad they did. This is similar to barbequed beef brisket but in smaller portions and half the price. The important thing is to slice this very thin - it will make a big difference. Oh, and this will make more than enough for two, so feel free to use the thin slices for sandwiches. Simply reheat slices in a little broth or water so they wont dry out. INGREDIENTS 2 pounds chuck roast 2 teaspoons chili powder 1/2 teaspoon oregano 2 cloves garlic, minced or pressed 1/4 cup red wine

2 tablespoons red wine vinegar 1/4 cup olive or canola oil 1/4 teaspoon freshly ground black pepper Mild or spicy prepared salsa

DIRECTIONS

1. In a small bowl, combine the chili powder, oregano and garlic. Pierce the meat at intervals with a fork then rub the chili mixture all over. In the same bowl combine the red wine, vinegar, oil, and pepper. Put the meat in a zip lock bag and add the red wine marinade to coat. Refrigerate for 6 - 8 hours. 2. Prepare a grill for indirect heat. Place a drip pan next to the coals. Lightly oil the grate. Remove the meat from the marinade and place it on the grate above the drip pan. Brush the meat with the marinade. Cover the grill and cook the roast slowly, turning from time to time, brushing with reserved marinade, for about 1-1/2 hours until the roast registers 120° with an instant read thermometer for medium-rare. 3. Remove meat from grill to a platter and cover loosely with tin foil for 15 minutes. Slice very thin and serve with salsa. Serve with Grilled Corn and Spicy Oven Fries

Chef Warren is the award-winning author of Table for Two - The Cookbook for Couples and the newly released Table for Two - Back for Seconds. You can purchase these items at your local bookstore, Amazon or get signed copies from www.tablefortwocookbooks.com Contact Chef Warren for in-home cooking classes or a personal chef experience (A 3 to 5 course meal prepared in your home for you and your friends). 904-704-1710

June/July 2014

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Outdoor Living

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San Jose



San Jose Woman's Journal - June/July 2014